Gallan, Arlene Georgia
Gallan, Arlene Georgia is an sole proprietor health care provider with primary practice located at 1601 Carmen Dr Ste 211 , Camarillo CA 93010-3103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Gallan, Arlene Georgia can be contacted via phone (910) 431-2388.Contact Information
Primary practice address
1601 Carmen Dr Ste 211
Camarillo CA 93010-3103
Phone: (910) 431-2388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3018 | North Carolina |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3018 | North Carolina |
Profile Details
| NPI number | 1215917455 |
|---|---|
| LBN Legal business name | Gallan, Arlene Georgia |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2006 |
| Last updated | Feb 4th, 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 | 1215917455 | NPPES |
| North Carolina | MEDICAID | 6008371 | |
| North Carolina | Other | DR1788 | |
| North Carolina | Other | 459622 | |
| North Carolina | Other | P00978895 | |
| North Carolina | MEDICAID | 6000529 |
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