Provider Demographics
NPI:1760637722
Name:GILBERT, ANN J (PSYD MFT)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:J
Last Name:GILBERT
Suffix:
Gender:F
Credentials:PSYD MFT
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:J
Other - Last Name:TANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5855 GREEN VALLEY CIRCLE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CULVE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230
Mailing Address - Country:US
Mailing Address - Phone:310-339-9233
Mailing Address - Fax:310-568-8854
Practice Address - Street 1:5855 GREEN VALLEY CIRCLE
Practice Address - Street 2:SUITE 202
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230
Practice Address - Country:US
Practice Address - Phone:310-339-9233
Practice Address - Fax:310-568-8854
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34740106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist