Individual
DR. KIM LISA GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3674
MA
103TC0700X
Clinical Psychologist
3674
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515558
—
MA
01
—
052672000
MAGELLAN BEHAVIORAL
MA
01
—
771363
TUFTS HEALTH PLAN
MA
01
—
GIW03729
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/26/2007
Last updated
12/27/2011
Update your record
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