Healthcare Provider Details

I. General information

NPI: 1053568253
Provider Name (Legal Business Name): SERENA CHRISTINE GALLOWAY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13601 WHITTIER BLVD STE 205
WHITTIER CA
90605-1953
US

IV. Provider business mailing address

PO BOX 11085
WHITTIER CA
90603-0085
US

V. Phone/Fax

Practice location:
  • Phone: 213-537-2014
  • Fax:
Mailing address:
  • Phone: 213-537-2014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY25881
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: