Doctor Name: | MRS. SUSAN KAYE GALLOWAY |
NPI Number: | 1639356793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2007031028 |
Business Practice Address: | 104 Mound Troy, MO - 63379 |
Business Phone Number: | 6366972747 |
Business Fax Number: | 5738982168 |
Mailing Address: | 1191 Brownsmill, ELSBERRY |
State: | MO |
Postal Code: | 63343 |
Phone Number: | 6366972747 |
Fax Number: | 5738982168 |
NPI Enumeration Date: | 01/30/2008 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2007031028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |