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NPI Code Detail

MEDICARE: GERARDO GALLARDO AMFT

MEDICARE:   GERARDO  GALLARDO  AMFT
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
1106H00000XMarriage & Family Therapist
2106H00000XMarriage & Family Therapist123036CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11508940396OTHERCONPI

General Provider Information

NPI Number : 1508940396
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERARDO GALLARDO AMFT
Provider Business Mailing Address
First Line : 1290 CHAMBERS RD
Second Line :
City : AURORA
State : CO
Zip : 80011-7117
Country : US
Telephone Number : 303-617-2300
Fax Number :
Provider Business Practice Location Address
First Line : 1290 CHAMBERS RD
Second Line :
City : AURORA
State : CO
Zip : 80011-7117
Country : US
Telephone Number : 303-617-2300
Fax Number : 714-568-6356
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/06/2022

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Directions to “ GERARDO GALLARDO AMFT” Practice Location

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