Jessica Gaines, Psy.D.
Psychologist, Clinical in Encinitas, CA. Individual provider (NPI-1).
NPI number1669966628
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1669966628
- Entity type
- Individual (NPI-1)
- Name
- Jessica Gaines
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2018
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY28223 | CA | Yes |
Practice location
355 Santa Fe Dr Ste 200Encinitas, CA 92024-5153
Phone 760-635-3310
Mailing address
4835 Rancho Viejo DrDel Mar, CA 92014-4236
Phone 619-917-2530
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