Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 3470 | NJ |
Y | 103TC0700X | Clinical Psychologist | 3470 | NJ |
NPI | 1003019316 |
---|---|
Provider Name | Dr. Jacqueline S. Gilbert |
First Address | Highland Park, NJ 08904-2758 |
Second Address | Highland Park, NJ 08904-2758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 08/07/2007 |