Individual
SUSAN BERNADETTE GALLAGHER-ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4710 NW 2ND AVE, SUITE# 104, BOCA RATON, FL 33431-4155
(561) 372-5500
Mailing address
4710 NW 2ND AVE, SUITE# 104, BOCA RATON, FL 33431-4155
(561) 372-5500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 8823
FL
103TC0700X
Clinical Psychologist
019990
NY
Other
Enumeration date
02/18/2013
Last updated
03/31/2015
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