Gallegos, Rafael

Gallegos, Rafael is an sole proprietor health care provider with primary practice located at 846 Farmington Ave Ste 11 , West Hartford CT 06119-1554. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Gallegos, Rafael can be contacted via phone (860) 236-7333.

Contact Information

Primary practice address
846 Farmington Ave Ste 11 West Hartford CT 06119-1554
Phone: (860) 236-7333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 002394 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002394 Connecticut
Behavioral Health & Social Service Providers / Forensic 103TF0200X 002394 Connecticut

Profile Details

NPI number 1205991957
LBN Legal business name Gallegos, Rafael
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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