Doctor Name: | CAMERON R GILBERT |
NPI Number: | 1386602910 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 20041060A |
Business Practice Address: | 1901 S Heaton St Knox, IN - 46534 |
Business Phone Number: | 5748065047 |
Business Fax Number: | 5022610433 |
Mailing Address: | Po Box 99, KNOX |
State: | IN |
Postal Code: | 46534 |
Phone Number: | 5748065047 |
Fax Number: | 5022610433 |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20041060A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |