Gollogly, Vincent Thomas
Gollogly, Vincent Thomas is an individual health care provider with primary practice located at 11444 Gravelly Lake Dr Sw , Lakewood WA 98499-1404. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gollogly, Vincent Thomas can be contacted via phone (253) 223-2525.Contact Information
Primary practice address
11444 Gravelly Lake Dr Sw
Lakewood WA 98499-1404
Phone: (253) 223-2525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00002233 | Washington |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | PY00002233 | Washington |
Profile Details
| NPI number | 1043686991 |
|---|---|
| LBN Legal business name | Gollogly, Vincent Thomas |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2015 |
| Last updated | Aug 14th, 2015 - about 10 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.
Popular Providers
-
Whitehill, Mark Bennett
3815 100Th St Sw Suite 2-B, Lakewood WA 98499-4401 -
Bacon, Jan Garver
9125 Bridgeport Way Sw Ste 102 , Lakewood WA 98499-2448 -
Sanchez, Debra A
9330 59Th Ave Sw , Lakewood WA 98499-2858 -
Lexcen, Frances Josephine
8805 Steilacoom Blvd Sw , Lakewood WA 98498-4770 -
Navarre, Davida E
5920 100Th St Sw # 33, Lakewood WA 98499-2751 -
Hanson, Stephanie
10116 36Th Avenue Ct Sw Ste 109 , Lakewood WA 98499-6005 -
Mcbride, Mallory
9601 Steilacoom Blvd Sw , Lakewood WA 98498-7212 -
Clark, Hillary Whitaker
10209 Bridgeport Way Sw Suite A-5, Lakewood WA 98499-2320