Provider Demographics
NPI:1518415611
Name:GILBERT, SHARI (MFT)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7668 EL CAMINO REAL # 104-155
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-7932
Mailing Address - Country:US
Mailing Address - Phone:760-822-9695
Mailing Address - Fax:
Practice Address - Street 1:7668 EL CAMINO REAL # 104-155
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-7932
Practice Address - Country:US
Practice Address - Phone:760-822-9695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-17
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50225106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist