Individual
JASON PAUL ALAN GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LP
Contact information
Practice address
7001 UNIVERSITY BLVD, WINTER PARK, FL 32792-6719
(407) 853-7700
(407) 853-7739
Mailing address
7001 UNIVERSITY BLVD, WINTER PARK, FL 32792-6719
(407) 853-7700
(407) 853-7739
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029959604
—
FL
Enumeration date
08/03/2010
Last updated
02/18/2019
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