Healthcare Provider Details

I. General information

NPI: 1174772230
Provider Name (Legal Business Name): TOBI NOBBS GILBERT PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2008
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4355B GUM BRANCH RD
JACKSONVILLE NC
28540-9178
US

IV. Provider business mailing address

4355 GUM BRANCH RD STE B
JACKSONVILLE NC
28540-9178
US

V. Phone/Fax

Practice location:
  • Phone: 727-488-3605
  • Fax:
Mailing address:
  • Phone: 910-650-4525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY 7449
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPPY 3512
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3512
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number3512
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: