Mr Leonard Joseph Gallagher Ii, PHYD | |
451 Marshall St, Brooklyn, MI 49230 | |
(517) 414-0697 | |
(517) 938-5914 |
Full Name | Mr Leonard Joseph Gallagher Ii |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 451 Marshall St, Brooklyn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619155058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301012470 (Michigan) | Primary |
103T00000X | Psychologist | LG012470 (Michigan) | Secondary |
Entity Name | L J Gallagher Psyd And Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518056365 PECOS PAC ID: 3375551864 Enrollment ID: O20060324000219 |
Mailing Address | Practice Location Address |
---|---|
Mr Leonard Joseph Gallagher Ii, PHYD Po Box 722, Brooklyn, MI 49230 Ph: (517) 414-0697 | Mr Leonard Joseph Gallagher Ii, PHYD 451 Marshall St, Brooklyn, MI 49230 Ph: (517) 414-0697 |
Mrs. Kendall Macarthur, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 176 S Main St, Brooklyn, MI 49230 Phone: 517-550-5423 Fax: 517-245-1911 | |
Sabrina R Corbin, LLP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 119 Bingham Dr, Brooklyn, MI 49230 Phone: 517-402-4008 | |
Lisa Michele Cagle-querfeld, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Bingham Dr, Brooklyn, MI 49230 Phone: 727-459-8371 Fax: 517-938-5948 |