Individual
DR. GLORIA JEAN GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
8085 WAYZATA BLVD, SUITE 212, GOLDEN VALLEY, MN 55426-1453
(763) 546-1796
(763) 546-8264
Mailing address
4465 VINEWOOD LN N, PLYMOUTH, MN 55442-2627
(763) 559-7084
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2964
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42F69GA
BLUE CROSS BLUE SHIELD PR
MN
Enumeration date
08/04/2006
Last updated
07/08/2007
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