Individual
DR. JACKIE GILBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
623 QUINCY ST, SUITE 102, RAPID CITY, SD 57701-8231
(605) 430-6364
(605) 716-9491
Mailing address
623QUINCY, SUITE 102, RAPID CITY, SD 57701-3619
(605) 430-6364
(605) 716-9491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
276 SD
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6551113
—
SD
Enumeration date
01/13/2006
Last updated
09/11/2012
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