Individual
DR. GERARD ANTHONY CHAMBERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D, PH.D.
Contact information
Practice address
2140 41ST AVE, STE 200B, CAPITOLA, CA 95010-2067
(321) 208-1554
Mailing address
1706 DOLPHIN DR, APTOS, CA 95003-5711
(321) 208-1554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8816
FL
103TC0700X
Clinical Psychologist
Primary
23778
CA
Other
Enumeration date
11/13/2007
Last updated
01/09/2017
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