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Individual

DR. JEREMY GALLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2518 ANTHEM VILLAGE DR STE 103, HENDERSON, NV 89052-5554
(702) 824-9639
(725) 214-3420
Mailing address
PO BOX 777117, HENDERSON, NV 89077-7117
(702) 824-9639
(725) 214-3420

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY0790
NV
103TC0700X
Clinical Psychologist
Primary
PY0790
NV
103TC2200X
Clinical Child & Adolescent Psychologist
PY0790
NV
103TP2701X
Group Psychotherapy Psychologist
PY0790
NV

Other

Enumeration date
09/22/2016
Last updated
09/28/2023
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