Individual
DR. GINA GALLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5182 KATELLA AVE, SUITE 205, LOS ALAMITOS, CA 90720-2824
(562) 493-4655
(562) 493-8897
Mailing address
5182 KATELLA AVE, SUITE 205, LOS ALAMITOS, CA 90720-2824
(562) 493-4655
(562) 493-8897
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18184
CA
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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