Gilbert, Kim Lisa

Gilbert, Kim Lisa is an sole proprietor health care provider with primary practice located at 53 Langley Rd Suite 380, Newton Center MA 02459-1913. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gilbert, Kim Lisa can be contacted via phone (617) 964-7730.

Contact Information

Primary practice address
53 Langley Rd Suite 380 Newton Center MA 02459-1913
Phone: (617) 964-7730
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3674 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3674 Massachusetts

Profile Details

NPI number 1619095858
LBN Legal business name Gilbert, Kim Lisa
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Dec 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619095858 NPPES
Massachusetts Other 771363 TUFTS HEALTH PLAN
Massachusetts Other 052672000 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0515558 TUFTS HEALTH PLAN
Massachusetts Other GIW03729 TUFTS HEALTH PLAN

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