Provider Demographics
NPI:1407055619
Name:GILBERT, MEREDITH L (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:L
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 1:3035 ISLAND CREST WAY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2919
Mailing Address - Country:US
Mailing Address - Phone:206-232-2898
Mailing Address - Fax:206-382-0245
Practice Address - Street 1:3035 ISLAND CREST WAY
Practice Address - Street 2:SUITE 112
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2919
Practice Address - Country:US
Practice Address - Phone:206-232-2898
Practice Address - Fax:206-382-0245
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00009339101YM0800X
WAPY00003681103TA0700X, 103TB0200X, 103TC0700X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy