Gallagher, Colin J.

Gallagher, Colin J. is an sole proprietor health care provider with primary practice located at 1526 14Th St Ste 109 , Santa Monica CA 90404-3320. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Gallagher, Colin J. can be contacted via phone (323) 800-8820.

Contact Information

Primary practice address
1526 14Th St Ste 109 Santa Monica CA 90404-3320
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 31739 California

Profile Details

NPI number 1699394270
LBN Legal business name Gallagher, Colin J.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2020
Last updated Mar 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699394270 NPPES
California Other 31739 PSYCHOLOGIST LICENSE NUMBER

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