Provider Demographics
NPI:1821845439
Name:GUILBERT PSYCHOLOGY, PLLC
Entity type:Organization
Organization Name:GUILBERT PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:GUILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:701-340-8847
Mailing Address - Street 1:1708 VALLEY BLUFFS DR SE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-7484
Mailing Address - Country:US
Mailing Address - Phone:701-340-8847
Mailing Address - Fax:
Practice Address - Street 1:1000 20TH AVE SW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-6447
Practice Address - Country:US
Practice Address - Phone:701-340-8847
Practice Address - Fax:701-839-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health