Individual
JARRED GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6100 PAN AMERICAN EAST FWY NE STE 360, ALBUQUERQUE, NM 87109-3460
(505) 823-8686
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-005395
AZ
103TC0700X
Clinical Psychologist
Primary
PSY-2023-0102
NM
Other
Enumeration date
06/12/2014
Last updated
04/23/2024
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