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Individual

DR. ROBERT B. GALLANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
100 CUMMINGS CTR, SUITE #456J, BEVERLY, MA 01915-6115
(978) 921-4000
(978) 921-7530
Mailing address
100 CUMMINGS CTR, SUITE #456J, BEVERLY, MA 01915-6115
(978) 921-4000
(978) 921-7530

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7812
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2165868
CIGNA
MA
01
W06226
BC/BS
MA
Enumeration date
09/26/2006
Last updated
07/08/2007
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