Organization · NPI-2
Arlene Georgia Gallan Phd INC
Psychologist, Clinical · Wilmington, NC
NPI number1285777599
StatusActive
Last updated in NPPESJan 13, 2015
Details
- NPI
- 1285777599
- Entity type
- Organization (NPI-2)
- Legal business name
- Arlene Georgia Gallan Phd INC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2007
- Last updated
- Jan 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 3018 | NC | Yes |
Practice location
3205 Randall PkwySuite 126
Wilmington, NC 28403-2564
Phone 910-815-3535 · Fax 866-293-1180
Mailing address
3205 Randall PkwySuite 126
Wilmington, NC 28403-2564
Phone 910-815-3535 · Fax 866-293-1180
Authorized official
Arlene Georgia Gallan
Owner
9108153535
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