Individual
DR. JOHN PATRICK GALLAGHER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
5524 S EMERSON AVE, INDIANAPOLIS, IN 46237-2517
(317) 781-1917
(317) 781-8170
Mailing address
5524 S EMERSON AVE, INDIANAPOLIS, IN 46237-2517
(317) 781-1917
(317) 781-8170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040155A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10067770
—
IN
Enumeration date
08/21/2006
Last updated
07/08/2007
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