Individual
ARLENE GEORGIA GALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1601 CARMEN DR STE 211, CAMARILLO, CA 93010-3103
(910) 431-2388
Mailing address
1601 CARMEN DR STE 211, CAMARILLO, CA 93010-3103
(910) 431-2388
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3018
NC
103TC0700X
Clinical Psychologist
3018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
459622
MHN/TRICARE PRIME
NC
05
—
6000529
—
NC
05
—
6008371
—
NC
01
—
DR1788
RR MEDICARE
NC
01
—
P00978895
RR MEDICARE
NC
Enumeration date
01/21/2006
Last updated
02/04/2022
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