| Lj Gallagher Psy D And Associates Pllc | |
|
451 Marshall St Brooklyn MI 49230 | |
| (517) 414-0697 | |
| (517) 938-5914 |
| Full Name | Lj Gallagher Psy D And Associates Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 451 Marshall St, Brooklyn, Michigan |
| Authorized Official Name and Position | Leonard Joseph Gallagher (LICENSED PSYCHOLOGIST CEO) |
| Authorized Official Contact | 5174140697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lj Gallagher Psy D And Associates Pllc Po Box 722 Brooklyn MI 49230-0722 Ph: (517) 414-0697 | Lj Gallagher Psy D And Associates Pllc 451 Marshall St Brooklyn MI 49230 Ph: (517) 414-0697 |
| NPI Number | 1518056365 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 3375551864 |
|---|---|
| Medicare Enrollment ID | O20060324000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518056365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Leonard J Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619155058 PECOS PAC ID: 5698759496 Enrollment ID: I20040617001272 |
| Provider Name | Nichole Bellfy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255612164 PECOS PAC ID: 6709180490 Enrollment ID: I20160201000057 |
| Provider Name | Sari Lynn Abromovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942359914 PECOS PAC ID: 2264624469 Enrollment ID: I20181115002705 |
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