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NPI Code Detail

MEDICARE: DR. SALLY GALANTI PHD

MEDICARE: DR. SALLY GALANTI PHD
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
1103T00000XPsychologist7735OH

General Provider Information

NPI Number : 1851879134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALLY GALANTI PHD
Provider Business Mailing Address
First Line : 6100 OAK TREE BLVD STE 200
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-6914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6100 OAK TREE BLVD STE 200
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-6914
Country : US
Telephone Number : 216-328-2045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2018
Last Update Date : 05/08/2019

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Directions to “ DR. SALLY GALANTI PHD” Practice Location

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