MEDICARE: MS. HARLENE GILBERT

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
1	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1780946004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HARLENE GILBERT

Provider Business Mailing Address
First Line	:	731 PRE EMPTION RD
Second Line	:
City	:	GENEVA
State	:	NY
Zip	:	14456-1335
Country	:	US
Telephone Number	:	315-789-6828
Fax Number	:	315-789-7750

Provider Business Practice Location Address
First Line	:	731 PRE EMPTION RD
Second Line	:
City	:	GENEVA
State	:	NY
Zip	:	14456-1335
Country	:	US
Telephone Number	:	315-789-6828
Fax Number	:	315-789-7750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2012
Last Update Date	:	04/26/2026

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