Organization
GLORIA J GALLO, P.A.
Active
Organization
GLORIA J GALLO, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA JEAN GALLO PH.D., L.P. (LICENSED PSYCHOLOGIST/OWNER)
(763) 546-1796
Entity
Organization
Contact information
Practice address
8085 WAYZATA BLVD, SUITE 212, GOLDEN VALLEY, MN 55426-1453
(763) 546-1796
Mailing address
8085 WAYZATA BLVD, SUITE 212, GOLDEN VALLEY, MN 55426-1453
(763) 546-1796
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2964
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42F69GA
BC/BS
MN
Enumeration date
08/07/2006
Last updated
08/22/2020
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