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
Phone: (920) 459-3155
Fax: (920) 459-4353
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2319-057 | Wisconsin |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689625485 | NPPES |
Wisconsin | MEDICAID | 39134800 |
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