Individual
DR. JOSEPH RONALD GIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
820 BAY AVE, 208A, CAPITOLA, CA 95010-2140
(831) 475-1323
(831) 477-2034
Mailing address
820 BAY AVE, 208, CAPITOLA, CA 95010-2140
(831) 475-1323
(831) 477-2034
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY15522
CA
103TC0700X
Clinical Psychologist
PSY15522
CA
103TF0200X
Forensic Psychologist
PSY15522
CA
103TR0400X
Rehabilitation Psychologist
PSY15522
CA
Other
Enumeration date
07/31/2006
Last updated
02/06/2009
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