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NPI Code Detail

MEDICARE: DR. ALICIA GILBERT PHD

MEDICARE:  DR. ALICIA  GILBERT  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY 20968CA

General Provider Information

NPI Number : 1164548152
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALICIA GILBERT PHD
Provider Business Mailing Address
First Line : 4081 STEPHENS ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-1242
Country : US
Telephone Number : 858-401-2142
Fax Number : 858-278-2365
Provider Business Practice Location Address
First Line : 4081 STEPHENS ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-1242
Country : US
Telephone Number : 858-401-2142
Fax Number : 858-278-2365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ALICIA GILBERT PHD” Practice Location

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