Gallivan, Gina
Gallivan, Gina is an sole proprietor health care provider with primary practice located at 5182 Katella Ave Suite 205, Los Alamitos CA 90720-2824. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gallivan, Gina can be contacted via phone (562) 493-4655.Contact Information
Primary practice address
5182 Katella Ave Suite 205
Los Alamitos CA 90720-2824
Phone: (562) 493-4655
Fax: (562) 493-8897
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY18184 | California |
Profile Details
NPI number | 1366736753 |
---|---|
LBN Legal business name | Gallivan, Gina |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2011 |
Last updated | Jun 3rd, 2011 - about 13 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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