Emily Joan Gamboa, SLP-CCC
Speech-Language Pathologist, in San Diego, CA. Individual provider (NPI-1).
NPI number1336788959
StatusActive
Last updated in NPPESDec 30, 2019
Details
- NPI
- 1336788959
- Entity type
- Individual (NPI-1)
- Name
- Emily Joan Gamboa
- Credential
- SLP-CCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2019
- Certification date
- Dec 30, 2019
- Last updated
- Dec 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 29229 | CA | Yes |
Practice location
4909 Murphy Canyon Rd Ste 310San Diego, CA 92123-4301
Phone 323-377-5303
Mailing address
4909 Murphy Canyon Rd Ste 310San Diego, CA 92123-4301
Phone 323-377-5303
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