| Doctor Name: | DR. PAMELA LEE GALLANT |
| NPI Number: | 1356489793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 41714 |
| Business Practice Address: | 514 South St Bow, NH - 033043419 |
| Business Phone Number: | 6038568163 |
| Business Fax Number: | 6038568164 |
| Mailing Address: | 514 South St, BOW |
| State: | NH |
| Postal Code: | 033043419 |
| Phone Number: | 6038568163 |
| Fax Number: | 6038568164 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 12/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 41714 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |