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Contact Information

VINCENT T GOLLOGLY, PhD
11444 GRAVELLY LAKE DR SW
LAKEWOOD, WA98499-1404
 Phone: 253-223-2525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for VINCENT T GOLLOGLY · (Male)

NPI Number 1043686991
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/14/2015
Last updated 08/14/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PY00002233
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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