Individual
DR. ROBERT EDWARD GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8600
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002279
MI
103T00000X
Psychologist
PSY002886
GA
104100000X
Social Worker
6801012516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301002279
PSYCHOLOGIST LICENSE
MI
01
—
6801012516
SOCIAL WORKER LICENSE
MI
01
—
PSY002886
PSYCHOLOGIST LICENSE
GA
Enumeration date
11/30/2005
Last updated
05/06/2020
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