| Ross A Gallo, M. D., Llc | |
|
1539 Jackson Ave Ste 220 New Orleans LA 70130-5868 | |
| (504) 552-9015 | |
| (504) 561-6088 |
| Full Name | Ross A Gallo, M. D., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1539 Jackson Ave Ste 220, New Orleans, Louisiana |
| Authorized Official Name and Position | Ross A Gallo (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5045529015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross A Gallo, M. D., Llc 1539 Jackson Ave Ste 220 New Orleans LA 70130-5868 Ph: (504) 552-9015 | Ross A Gallo, M. D., Llc 1539 Jackson Ave Ste 220 New Orleans LA 70130-5868 Ph: (504) 552-9015 |
| NPI Number | 1922273267 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922273267 | NPI | - | NPPES |
| 1923966 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | MD 019325 (Louisiana) | Primary |
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