John Thomas Gallagher in Portage - Clinical Neuropsychologist
John Thomas Gallagher - NPI 1750472387
John Thomas Gallagher is a Clinical Neuropsychologist in Portage, Michigan. John Thomas Gallagher practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for John Thomas Gallagher is 1750472387. The last update date is 2007-07-08.
John Thomas Gallagher's current location address is 6100 Newport Rd, Portage, Michigan. You can contact this provider via phone number 2693241248 and fax number 2693241263. The mailing address for John Thomas Gallagher is 6100 Newport Rd, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Thomas Gallagher |
|---|---|
| Address | 6100 Newport Rd, Portage, Michigan |
| Phone Number | 2693241248 |
| Fax Number | 2693241263 |
| Sole Proprietor | N |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1750472387 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6100 Newport Rd |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490029235 |
| Phone Number | 2693241248 |
| Fax Number | 2693241263 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 6301000929 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680C94538 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Thomas Gallagher by the Centers for Medicare & Medicaid Services?
The John Thomas Gallagher has been issued the NPI (National Provider Identifier) 1750472387, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John Thomas Gallagher is physically located?
The John Thomas Gallagher is situated at the following address: 6100 Newport Rd, Portage, MI 490029235.
What is John Thomas Gallagher's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Thomas Gallagher's area of specialization is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this field of practice is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750472387 to John Thomas Gallagher?
The Centers for Medicare & Medicaid Services assigned the 1750472387 to John Thomas Gallagher on 2006-09-27.
As of what date was the information pertaining to John Thomas Gallagher, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Thomas Gallagher, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.