Individual
DR. ROBERTA EILEEN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1916 PATTERSON ST, SUITE 606, NASHVILLE, TN 37203-2120
(615) 322-9227
(615) 322-9247
Mailing address
1916 PATTERSON STREET, SUITE 606, NASHVILLE, TN 37203-2120
(615) 322-9227
(615) 322-9247
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2675
TN
103T00000X
Psychologist
2675
TN
103TA0700X
Adult Development & Aging Psychologist
2675
TN
103TB0200X
Cognitive & Behavioral Psychologist
2675
TN
103TC0700X
Clinical Psychologist
2675
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4177555
BLUE CROSS PIN
TN
01
—
P00453594
RAILROAD MEDICARE
TN
Enumeration date
08/15/2007
Last updated
05/30/2008
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