Individual
MICAHEL B GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3922
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1028
LA
Other
Enumeration date
07/31/2007
Last updated
01/30/2025
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