Deanna Lynn Gallagher, MARRIAGE & FAMILY TH

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

5084253-3902 Issued in UT

Practice address

326 E. Center Street
Pocatello, ID 83202

Phone

(909) 455-3872

NPI assigned

Jan 6, 2012

Last updated

Nov 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Deanna Lynn Ruiz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1801166970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016307",
            "telephone_number": "909-455-3872",
            "fax_number": "909-455-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 E. CENTER STREET",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83202",
            "telephone_number": "909-455-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MARRIAGE & FAMILY TH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "5084253-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "RUIZ",
            "middle_name": "LYNN",
            "credential": "MARRIAGE & FAMILY TH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Paul A Gagnon, D.M.D.
• Hannah Marie Galbreth, PHARM.D
• Evelyn Galloway, LICENSED
• Douglas R Gallup, LCPC
• Jennifer Leslie Gallup, PH.D.
• Danny Ray Gandy Jr.
• Esmeralda Garcia, LPC

• Marriage & Family Therapist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.