Individual
MARY S GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5060 CASCADE RD SE STE D, GRAND RAPIDS, MI 49546
(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
103T00000X
Psychologist
Primary
6301010058
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680D146530
BC/BS
MI
Enumeration date
06/16/2006
Last updated
07/21/2022
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