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
Phone: (323) 800-8820
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699394270 | NPPES |
California | Other | 31739 | PSYCHOLOGIST LICENSE NUMBER |
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