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Organization
GILBERT PSYCHOLOGICAL SERVICES, LLC
Active
Organization
GILBERT PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GILBERT PHD (OWNER)
(616) 454-2911
Entity
Organization
Contact information
Practice address
5060 CASCADE RD SE STE D, GRAND RAPIDS, MI 49546-3808
(616) 454-2911
(616) 454-1126
Mailing address
5060 CASCADE RD SE STE D, GRAND RAPIDS, MI 49546-3808
(616) 454-2911
(616) 454-1126
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301010053
STATE LICENSE
MI
Enumeration date
06/09/2017
Last updated
07/21/2022
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