Individual
TERESA GALLENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5 SAN CARLOS AVE, SAN CARLOS, AZ 85550-1379
(928) 475-4875
Mailing address
5 SAN CARLOS AVE, SAN CARLOS, AZ 85550-1379
(928) 475-4875
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1656
AZ
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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