DR. Richard Ballou Gallaher JR., PHD

NPI #1376634345 in Lewiston, Idaho

Provider Information

NPI Number: 1376634345
Entity Type: Individual
Name: DR. Richard Ballou Gallaher JR., PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Sep 27, 2006
Last Updated: Jan 8, 2013

Practice Location

Address: 513 THAIN ROAD
City: Lewiston
State: Idaho
ZIP Code: 83501-4140
Phone: (208) 743-0150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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