Individual
DR. CHARLES GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1218 CHESTNUT STREET, SUITE 607, PHILADELPHIA, PA 19107
(215) 625-9655
(215) 625-8524
Mailing address
1218 CHESTNUT STREET, SUITE 607, PHILADELPHIA, PA 19107
(215) 625-9655
(215) 625-8524
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015528
PA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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