Gallon, Robert L.
Gallon, Robert L. is an sole proprietor health care provider with primary practice located at 77 James St , Bangor ME 04401-4661. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gallon, Robert L. can be contacted via phone (207) 942-3011.Contact Information
Primary practice address
77 James St
Bangor ME 04401-4661
Phone: (207) 942-3011
Fax: (207) 942-0350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PS402 | Maine |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS402 | Maine |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | PS402 | Maine |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PS402 | Maine |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | PS402 | Maine |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS402 | Maine |
Profile Details
| NPI number | 1255492716 |
|---|---|
| LBN Legal business name | Gallon, Robert L. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Dec 22nd, 2009 - about 15 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 | 1255492716 | NPPES |
| Maine | Other | 2186061 | AETNA |
| Maine | MEDICAID | 222380000 | AETNA |
| Maine | Other | 003418 | AETNA |
| Maine | Other | E002411 | AETNA |
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