Individual
DR. CHARLOTTE C GALLAUDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
64 PARKWAY RD APT 1A, BRONXVILLE, NY 10708-3619
(914) 337-6745
Mailing address
64 PARKWAY RD APT 1A, BRONXVILLE, NY 10708-3619
(914) 384-2052
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851198
—
NY
Enumeration date
10/04/2006
Last updated
03/17/2018
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