| Doctor Name: | MRS. DENISE MARIE GALLANT |
| NPI Number: | 1225377336 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPES |
| License Number: | 4598 |
| Business Practice Address: | 205 King St Latta, SC - 295651401 |
| Business Phone Number: | 8437527101 |
| Business Fax Number: | 8437522081 |
| Mailing Address: | 205 King St, LATTA |
| State: | SC |
| Postal Code: | 295651401 |
| Phone Number: | 8437527101 |
| Fax Number: | 8437522081 |
| NPI Enumeration Date: | 02/08/2013 |
| NPI Last Update Date: | 02/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 4598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |