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NPI 1245476845

NPI 1245476845 : JOSEPH MATTHEW GILBERT PSYD : LOUISVILLE, KY

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General NPI Number Information
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    NPI Number           |    1245476845
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH MATTHEW GILBERT PSYD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/02/2009
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    4010 DUPONT CIR STE 574 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40207-4843
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    Country              |    US
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    Telephone            |    502-498-3296
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    Fax                  |    502-257-7296
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Provider Business Mailing Address
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    Address Line         |    4010 DUPONT CIR STE 574 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40207-4843
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    Country              |    US
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    Telephone            |    502-498-3296
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    Fax                  |    502-257-7296
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    129651
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    License Number State |    KY
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