| Dr Richard Ballou Gallaher Jr, PHD | |
|
513 Thain Road, Lewiston, ID 83501-4140 | |
| (208) 743-0150 | |
| (208) 743-5358 |
| Full Name | Dr Richard Ballou Gallaher Jr |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 513 Thain Road, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376634345 | NPI | - | NPPES |
| 000010147148 | Other | ID | REGENCE BLUESHIELD |
| 041256289 | Medicaid | WA | |
| 550867358 | Other | ID | GENERAL INSURANCE NUMBER |
| Y0929 | Other | ID | IDAHO BLUE CROSS |
| 806984800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY-202154 (Idaho) | Primary |
| 103T00000X | Psychologist | PY00000815 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Ballou Gallaher Jr, PHD 513 Thain Road, Lewiston, ID 83501-4140 Ph: (208) 743-0150 | Dr Richard Ballou Gallaher Jr, PHD 513 Thain Road, Lewiston, ID 83501-4140 Ph: (208) 743-0150 |
Dr. Kristy Anne Kuehfuss, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Dr. Kevin Richard Kracke, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 422 17th St, Lewiston, ID 83501 Phone: 208-743-4680 Fax: 208-743-1756 | |
Rebecca J Alexander, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-798-5168 Fax: 208-798-5169 | |
Dr. Leanne Parker, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097 | |
Philip N Mackinnon, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Dr. Jarod John Fitzgerald, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 |