Provider Demographics
NPI:1891075677
Name:GILBERT, JULIA E
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:E
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 1:1007 SHAKELEY LN
Mailing Address - Street 2:
Mailing Address - City:IONE
Mailing Address - State:CA
Mailing Address - Zip Code:95640-5433
Mailing Address - Country:US
Mailing Address - Phone:925-321-2518
Mailing Address - Fax:
Practice Address - Street 1:1007 SHAKELEY LN
Practice Address - Street 2:
Practice Address - City:IONE
Practice Address - State:CA
Practice Address - Zip Code:95640-5433
Practice Address - Country:US
Practice Address - Phone:925-321-2518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst