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Individual

DR. JOHN J. GALLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., PH.D.

Contact information

Practice address
22 KANE ST, CARBONDALE, PA 18407-3055
(570) 341-4735
Mailing address
22 KANE ST, CARBONDALE, PA 18407-3055
(570) 341-4735

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS006988L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS006988L
PA
103TC0700X
Clinical Psychologist
Primary
PS006988L
PA
103TF0200X
Forensic Psychologist
PS006988L
PA

Other

Enumeration date
03/04/2011
Last updated
03/04/2011
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