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Individual

DR. PAMELA LEE GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
187 N STATE ST, CONCORD, NH 03301-5020
(603) 856-8163
(603) 856-8164
Mailing address
514 SOUTH ST, BOW, NH 03304-3419
(603) 856-8163
(603) 856-8164

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1149
NH
103TS0200X
School Psychologist
41714
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7706646Y0NH01
ANTHEM
NH
01
889986A
MVP HEALTHCARE
NH
Enumeration date
02/01/2007
Last updated
09/18/2021
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