| Doctor Name: | DR. AMBER D BAUER-GAMBLA |
| NPI Number: | 1003054339 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 071007604 |
| Business Practice Address: | 25 East Washington Street Suite 1601 Chicago, IL - 60602 |
| Business Phone Number: | 3127208008 |
| Business Fax Number: | |
| Mailing Address: | 25 East Washington Street, Suite 1601 CHICAGO |
| State: | IL |
| Postal Code: | 60602 |
| Phone Number: | 7734120010 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2009 |
| NPI Last Update Date: | 02/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071007604 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |