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Dr. John Thomas Gallagher, EDD
Clinical Neuropsychologist in Portage, Michigan
NPI 1750472387

John Thomas Gallagher is a Clinical Neuropsychologist based in Portage, MI. John Thomas Gallagher practices in Portage, MI and has the professional credentials of EDD. The NPI Number for John Thomas Gallagher is 1750472387 and holds a License No. 6301000929 (Michigan).

The current practice location address for John Thomas Gallagher is 6100 Newport Rd, Portage, MI and can be reached out via phone at 269-324-1248 and via fax at 269-324-1263.

Location: 6100 Newport Rd, Portage, MI, 49002-9235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750472387
Provider Name
John Thomas Gallagher
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
6100 Newport Rd, Portage, MI, 49002-9235
Phone Number
269-324-1248
Fax Number
269-324-1263
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
680C94538 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6100 Newport Rd
City
Portage
State
Michigan
Zip
49002-9235
Phone Number
269-324-1248
Fax Number
269-324-1263
person
Provider Business Mailing Address Details
Address
6100 Newport Rd
City
Portage
State
Michigan
Zip
49002-9235
Phone Number
269-324-1248
Fax Number
269-324-1263
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
6301000929 (Michigan)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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