Dr.jackiegilbertsonllc
NPI #1124383435 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1124383435
- Entity Type
- Organization
- Organization Name
- Dr.jackiegilbertsonllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 12, 2012
- Last Updated
- Jul 12, 2012
Practice Location
- Address
- 623 QUINCY ST
- Address 2
- 102
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57701-8231
- Phone
- (605) 430-6364
Authorized Official
- Name
- DR. JACKIE R GILBERTSON, ED.D
- Title
- PSYCHOLOGISTLICENSED
- Phone
- (605) 430-6364
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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