Healthcare Provider Details

I. General information

NPI: 1063842466
Provider Name (Legal Business Name): FRANK JOSEPH GALLO PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2013
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 8592
CRANSTON RI
02920-0592
US

IV. Provider business mailing address

PO BOX 8592
CRANSTON RI
02920-0592
US

V. Phone/Fax

Practice location:
  • Phone: 401-594-9010
  • Fax:
Mailing address:
  • Phone: 401-594-9010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS02017
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number9800
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: