Mary Anne Gallagher, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT34415 Issued in CA

Legal business name

MARY ANNE GALLAGHER, PH.D.

Practice address

2550 Honolulu Ave Ste 103
Montrose, CA 91020-1859

Phone

(818) 243-5674

NPI assigned

Apr 28, 2016

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Anne Gallagher, PH.D.

Title

Owner

Phone

(818) 243-5674

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1093160947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HONOLULU AVE STE 103",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201859",
            "telephone_number": "818-243-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HONOLULU AVE STE 103",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201859",
            "telephone_number": "818-243-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANNE GALLAGHER, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-243-5674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT34415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Montrose, CA
• Providers in Montrose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.