NPI 1124383435

Dr.Jackiegilbertsonllc

Organisation Community/Behavioral Health Agency Rapid City, SD

Practice location

Address: 623 Quincy St 102, Rapid City, SD 57701-8231
Phone: (605) 430-6364
Fax: (605) 716-9491

Authorised official

Name: Jackie R Gilbertson
Title: Psychologistlicensed
Phone: (605) 430-6364

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 276 (SD)

Other Community/Behavioral Health providers in South Dakota →

Registry record

NPI: 1124383435
Entity type: Organization
NPI issued: 12 Jul 2012
Record last updated: 12 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.