Allison N Gilson, PH.D., LP

Individual provider Active NPI Clinical Psychologist · Canton, MI

NPI 1790029338 · NPPES record last updated Nov 9, 2023

Key facts

NPI
1790029338
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
2012039121 (MO)
Practice address
44050 Candlewood Dr
Canton, MI 48187-1904
Phone
(734) 472-2705
Fax
(734) 666-3873
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2012039121 MO Yes

Addresses

Primary practice location

44050 Candlewood Dr
Canton, MI 48187-1904

Mailing address

8834 E 34 Rd # 131 SMB 14146
Cadillac, MI 49601-9580
Phone (734) 472-2705

Other providers in Canton, MI

All providers in Canton, MI · Clinical Psychologist in Michigan

Sources for this page

Verify at the official NPI Registry.