Individual
GAYLE LYNNETTE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4323 PALM AVE STE D, LA MESA, CA 91941-6597
(619) 972-5320
(619) 460-4019
Mailing address
4323 PALM AVE STE D, LA MESA, CA 91941-6597
(619) 972-5320
(619) 460-4019
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 20223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PL202230
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
06/09/2006
Last updated
02/09/2018
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