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NPI Code Detail

MEDICARE: DR. JUDY ANN GALLOWAY EDD

MEDICARE:  DR. JUDY ANN GALLOWAY  EDD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor04579FL

General Provider Information

NPI Number : 1184695579
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDY ANN GALLOWAY EDD
Provider Business Mailing Address
First Line : 1155 LOUISIANA AVE
Second Line : SUITE 101
City : WINTER PARK
State : FL
Zip : 32789-2351
Country : US
Telephone Number : 407-620-8031
Fax Number :
Provider Business Practice Location Address
First Line : 1155 LOUISIANA AVE
Second Line : SUITE 101
City : WINTER PARK
State : FL
Zip : 32789-2351
Country : US
Telephone Number : 407-620-8031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JUDY ANN GALLOWAY EDD” Practice Location

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