Provider Demographics
NPI:1316166127
Name:GILBERT, DEJA (PHD, LMHC, LPC)
Entity type:Individual
Prefix:DR
First Name:DEJA
Middle Name:
Last Name:GILBERT
Suffix:
Gender:F
Credentials:PHD, LMHC, LPC
Other - Prefix:
Other - First Name:DEJA
Other - Middle Name:
Other - Last Name:BARONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:806 BRUSHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2004
Mailing Address - Country:US
Mailing Address - Phone:561-236-2175
Mailing Address - Fax:
Practice Address - Street 1:806 BRUSHTOWN RD
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2004
Practice Address - Country:US
Practice Address - Phone:561-236-2175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004530101YM0800X, 101YP2500X
FLMH10213101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2870448000OtherKEYSTONE