| Renee Galliher Psychological Services Llc | |
|
965 S 100 W Ste 204 Logan UT 84321-6072 | |
| (435) 770-1510 | |
| Not Available |
| Full Name | Renee Galliher Psychological Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 965 S 100 W Ste 204, Logan, Utah |
| Authorized Official Name and Position | Renee Vickerman Galliher (PSYCHOLOGIST) |
| Authorized Official Contact | 4357701510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Galliher Psychological Services Llc 700 Mountain View Dr River Heights UT 84321-5637 Ph: (435) 770-1510 | Renee Galliher Psychological Services Llc 965 S 100 W Ste 204 Logan UT 84321-6072 Ph: (435) 770-1510 |
| NPI Number | 1821520826 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 05/12/2017 |
| Medicare PECOS PAC ID | 3779850029 |
|---|---|
| Medicare Enrollment ID | O20170517001259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821520826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5074236-2501 (Utah) | Primary |
| Provider Name | Renee V Galliher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396778734 PECOS PAC ID: 4688941933 Enrollment ID: I20170517001385 |
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