Basic Information
| Provider Information | |||||||||
| NPI: | 1528291200 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GILBERT | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | NEAL | ||||||||
| NamePrefix: | MR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4525 164TH ST SW APT L303 | ||||||||
| Address2: | |||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980878601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8065433085 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3320 173RD PL NE | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982238712 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253498700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2009 | ||||||||
| LastUpdateDate: | 08/28/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.