Provider Demographics
NPI:1184665440
Name:GILBERT, TRUDY (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRUDY
Middle Name:
Last Name:GILBERT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 E GONZALES RD # 317
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-3700
Mailing Address - Country:US
Mailing Address - Phone:805-832-8536
Mailing Address - Fax:
Practice Address - Street 1:300 E ESPLANADE DR
Practice Address - Street 2:SUITE 900
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-1238
Practice Address - Country:US
Practice Address - Phone:805-832-8536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23809103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical