Provider Demographics
NPI:1649414673
Name:GILBERT, ANGELA S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:S
Last Name:GILBERT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 FIDLER LN
Mailing Address - Street 2:SUITE # 1218
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3425
Mailing Address - Country:US
Mailing Address - Phone:301-237-3894
Mailing Address - Fax:
Practice Address - Street 1:1110 FIDLER LN
Practice Address - Street 2:SUITE # 1218
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3425
Practice Address - Country:US
Practice Address - Phone:301-237-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3134103TC0700X
DC1833103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical