Individual
THEA GALLAGHER
Active
Individual
THEA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.S., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC006687
PA
103TC0700X
Clinical Psychologist
Primary
024545
NY
Other
Enumeration date
01/04/2013
Last updated
04/26/2024
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