Jacob J Ambrose
Jacob J Ambrose is a Clinical Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
1110 24th St Apt 8San Diego, CA 92102
Phone: (619) 728-4177
Fax: (573) 503-0122
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Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY34639 (CA) |
|---|
Record details
| NPI number | 1588149017 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 1, 2018 |
| Last updated in NPPES | December 23, 2024 |
| Certification date | December 23, 2024 |
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