Jensen, Gayle Lynnette
Jensen, Gayle Lynnette is an sole proprietor health care provider with primary practice located at 4323 Palm Ave Ste D , La Mesa CA 91941-6597. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jensen, Gayle Lynnette can be contacted via phone (619) 972-5320.Contact Information
Primary practice address
4323 Palm Ave Ste D
La Mesa CA 91941-6597
Phone: (619) 972-5320
Fax: (619) 460-4019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY 20223 | California |
Profile Details
| NPI number | 1083655328 |
|---|---|
| LBN Legal business name | Jensen, Gayle Lynnette |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Feb 9th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083655328 | NPPES |
| California | Other | 0PL202230 | BLUE SHIELD OF CALIFORNIA |
| California | Other | 0PL202230 | BLUE SHIELD OF CALIFORNIA |
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