Gamboa, Maricela
Gamboa, Maricela is an individual health care provider with primary practice located at 525 E 100 S Suite 120, Salt Lake City UT 84102-4210. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gamboa, Maricela can be contacted via phone (801) 483-2447.Contact Information
Primary practice address
525 E 100 S Suite 120
Salt Lake City UT 84102-4210
Phone: (801) 483-2447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 9498269-2501 | Utah |
Profile Details
| NPI number | 1104172311 |
|---|---|
| LBN Legal business name | Gamboa, Maricela |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2012 |
| Last updated | Dec 18th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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