Gallegos, Rafael
Gallegos, Rafael is an sole proprietor health care provider with primary practice located at 846 Farmington Ave Ste 11 , West Hartford CT 06119-1554. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Gallegos, Rafael can be contacted via phone (860) 236-7333.Contact Information
Primary practice address
846 Farmington Ave Ste 11
West Hartford CT 06119-1554
Phone: (860) 236-7333
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 002394 | Connecticut |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002394 | Connecticut |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 002394 | Connecticut |
Profile Details
NPI number | 1205991957 |
---|---|
LBN Legal business name | Gallegos, Rafael |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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