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CHARLES P. GALLO NPI 1801950209


NPI Information

NPI: 1801950209
Provider Name: CHARLES P. GALLO

Doing Business As: EAST SUBURBAN PSYCHOLOGICAL ASSOCIATES

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
2550 MOSSIDE BLVD
SUITE 304
MONROEVILLE, PA
ZIP 15146
Phone: (412) 373-3471
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CHARLES P. GALLO is a counselor in Monroeville, PA. The provider is 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's degree and clinical experience and supervision for licensure or certification. CHARLES P. GALLO NPI is 1801950209. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Suburban Psychological Associates.

The provider's business location address is:

2550 MOSSIDE BLVD
SUITE 304
MONROEVILLE, PA
ZIP 15146-540
Phone: (412) 373-3471
Fax: (412) 373-7324

The provider's authorized official is Charles P Gallo .
The authorized official title is Owner and has the following contact phone number (412) 373-3471.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 6/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103G00000XClinical NeuropsychologistNo
3103T00000XPsychologistNo
4104100000XSocial WorkerNo
5106H00000XMarriage & Family TherapistNo
6101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1073782MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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