Organization
PEACE RIVER PSYCHOLOGY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN GALLIANO PHD (OWNER)
(941) 505-6162
Entity
Organization
Contact information
Practice address
425 CROSS ST, STE 111, PUNTA GORDA, FL 33950-4877
(941) 505-6162
(941) 505-8604
Mailing address
425 CROSS ST, STE 111, PUNTA GORDA, FL 33950-4877
(941) 505-6162
(941) 505-8604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6197
FL
Other
Enumeration date
08/24/2009
Last updated
01/19/2010
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