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NPI Code Detail

MEDICARE: MRS. LLOYSA GALLERY LPC

MEDICARE: MRS. LLOYSA GALLERY LPC
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
1103T00000XPsychologist6301014299MI
2101YP2500XProfessional Counselor6401015335MI

General Provider Information

NPI Number : 1447560842
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LLOYSA GALLERY LPC
Provider Business Mailing Address
First Line : 3550 SHATTUCK RD STE C
Second Line :
City : SAGINAW
State : MI
Zip : 48603-3153
Country : US
Telephone Number : 989-295-4665
Fax Number :
Provider Business Practice Location Address
First Line : 3550 SHATTUCK RD STE C
Second Line :
City : SAGINAW
State : MI
Zip : 48603-3153
Country : US
Telephone Number : 989-295-4665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2010
Last Update Date : 08/16/2019

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Directions to “ MRS. LLOYSA GALLERY LPC” Practice Location

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