NPI 1003117821

Guillermo Enrique Gallegos, PHD

Practitioner Clinical Psychologist Oakland, NJ

Practice location

Address: 5 Fir CT STE 2, Oakland, NJ 07436-1821
Phone: (908) 239-2338
Fax: (201) 933-1326
Mailing address: 336 Mountain Way, Rutherford, NJ 07070-2817

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence SIOO2556 (NJ)

Other Psychologist providers in New Jersey →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 16943 (NY)

Registry record

NPI: 1003117821
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2010
Record last updated: 10 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.