Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gretchen W. Kishbaugh, PHD

Individual provider Clinical Psychologist · NPI 1679763635

Dr. Gretchen W. Kishbaugh, PHD is a Clinical Psychologist in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1330 Lincoln Ave Ste 304A
San Rafael, CA 94901-2120
Phone: (415) 459-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY16689 (CA)

Record details

NPI number1679763635
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 26, 2007
Last updated in NPPESJuly 26, 2007

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