| Doctor Name: | DR. KIM LISA GILBERT |
| NPI Number: | 1619095858 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 3674 |
| Business Practice Address: | 53 Langley Rd Suite 380 Newton Center, MA - 024591913 |
| Business Phone Number: | 6179647730 |
| Business Fax Number: | |
| Mailing Address: | 557 Saw Mill Brook Pkwy, NEWTON |
| State: | MA |
| Postal Code: | 024593614 |
| Phone Number: | 6172446849 |
| Fax Number: | 6177951892 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 12/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3674 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |