Individual
MR. GALEN R VANKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
401
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11823
MIDLANDS CHOICE
—
01
—
1998
AVERA HEALTH PLAN
—
01
—
2268882
CIGNA
—
01
—
269339
COMPSYCH
—
01
—
4994484
BLUE CROSS
—
05
—
6551632
—
SD
01
—
9171289
DAKOTA CARE
—
Enumeration date
12/13/2006
Last updated
07/08/2007
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