Gallo, Deborah Lynn
Gallo, Deborah Lynn is an sole proprietor health care provider with primary practice located at 21241 Ventura Blvd Suite 180, Woodland Hills CA 91364-2108. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gallo, Deborah Lynn can be contacted via phone (818) 372-7902.Contact Information
Primary practice address
21241 Ventura Blvd Suite 180
Woodland Hills CA 91364-2108
Phone: (818) 372-7902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY15480 | California |
Profile Details
| NPI number | 1831109214 |
|---|---|
| LBN Legal business name | Gallo, Deborah Lynn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Dec 1st, 2021 - about 4 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 | 1831109214 | NPPES |
| California | MEDICAID | 5544731 |
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