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Contact Information

JARRED GALLEGOS, PHD
6100 PAN AMERICAN EAST FWY NE STE 360
ALBUQUERQUE, NM87109-3460
 Phone: 505-823-8686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JARRED GALLEGOS · (Male)

NPI # 1235543786
Status Active
Credentials PHD
Entity Individual
Enumeration date 06/12/2014
Last updated 04/23/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # PSY-005395
  • NM License # PSY-2023-0102
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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