Provider Demographics
NPI:1609072768
Name:GILBERT, MEGAN ELIZABETH
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:GILBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MAIN ST
Mailing Address - Street 2:APT 12
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3720
Mailing Address - Country:US
Mailing Address - Phone:603-358-5310
Mailing Address - Fax:
Practice Address - Street 1:101 MAIN ST
Practice Address - Street 2:APT 12
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3720
Practice Address - Country:US
Practice Address - Phone:603-358-5310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor