Doctor Name: | MR. JAMES WILLIAM GALLAGHER |
NPI Number: | 1881901015 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 41 Mall Road Provider Enrollment Dept Provider Enrollment Dept., 41 Mall Road Burlington, MA - 018050001 |
Business Phone Number: | 7817448085 |
Business Fax Number: | 7817445433 |
Mailing Address: | 41 Mall Road Provider Enrollment Dept, Lahey Hospital And Medical Center BURLINGTON |
State: | MA |
Postal Code: | 018050001 |
Phone Number: | 7817448085 |
Fax Number: | 7817445433 |
NPI Enumeration Date: | 09/09/2010 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |