Gallese, Rebecca Lynn

Gallese, Rebecca Lynn is an individual health care provider with primary practice located at 42 Delsea Dr S , Glassboro NJ 08028-2621. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gallese, Rebecca Lynn can be contacted via phone (856) 863-0006.

Contact Information

Primary practice address
42 Delsea Dr S Glassboro NJ 08028-2621
Fax: (856) 881-7614
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04850500 New Jersey

Profile Details

NPI number 1588715338
LBN Legal business name Gallese, Rebecca Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 9th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588715338 NPPES
New Jersey Other 2321451000 AMERIHEALTH
New Jersey Other 293370000 AMERIHEALTH

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