Doctor Name: | TARAH GALLOWAY |
NPI Number: | 1063821049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180.009166 |
Business Practice Address: | 721 Cambridge Dr Schaumburg, IL - 601932664 |
Business Phone Number: | 8476304756 |
Business Fax Number: | |
Mailing Address: | 721 Cambridge Dr, SCHAUMBURG |
State: | IL |
Postal Code: | 601932664 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/04/2014 |
NPI Last Update Date: | 08/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180.009166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |