Doctor Name: | MRS. DANA T GAMALLO |
NPI Number: | 1083955629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05387800 |
Business Practice Address: | 51 Upper Montclair Plz Upper Montclair, NJ - 070431343 |
Business Phone Number: | 2014218067 |
Business Fax Number: | |
Mailing Address: | 163 State St, BLOOMFIELD |
State: | NJ |
Postal Code: | 070032613 |
Phone Number: | 2014218067 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2013 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05387800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |