Gallaway, Jody A

Gallaway, Jody A is an individual health care provider with primary practice located at 1011 N 8Th St , Sheboygan WI 53081-4006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gallaway, Jody A can be contacted via phone (920) 459-3155.

Contact Information

Primary practice address
1011 N 8Th St Sheboygan WI 53081-4006
Fax: (920) 459-4353
Website:

Health care specialties

Profile Details

NPI number 1689625485
LBN Legal business name Gallaway, Jody A
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Dec 14th, 2020 - about 5 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 1689625485 NPPES
Wisconsin MEDICAID 39134800

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