Gallo, Charles Paul

Gallo, Charles Paul is an sole proprietor health care provider with primary practice located at 2550 Mosside Blvd Suite 304, Monroeville PA 15146-3540. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gallo, Charles Paul can be contacted via phone (412) 373-3471.

Contact Information

Primary practice address
2550 Mosside Blvd Suite 304 Monroeville PA 15146-3540
Phone: (412) 373-3471
Fax: (412) 373-7324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS002567L Pennsylvania

Profile Details

NPI number 1225029853
LBN Legal business name Gallo, Charles Paul
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Jul 18th, 2013 - about 12 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 1225029853 NPPES
Pennsylvania Other 063720 HIGHMARK
Pennsylvania Other 279688 HIGHMARK
Pennsylvania MEDICAID 001466063 HIGHMARK

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