Individual
DR. GUILLERMO ENRIQUE GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
5 FIR CT STE 2, OAKLAND, NJ 07436-1821
(908) 239-2338
(201) 933-1326
Mailing address
336 MOUNTAIN WAY, RUTHERFORD, NJ 07070-2817
(908) 239-2338
(201) 933-1326
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
16943
NY
103TC0700X
Clinical Psychologist
Primary
SIOO2556
NJ
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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