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Contact Information

KATHRYN C GALLUP, LCSW
10 N. MAIN ST
CORTLAND, NY13045
 Phone: 607-753-0234
 Fax: 607-753-0286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for KATHRYN C GALLUP · (Female)

NPI # 1275728362
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/11/2007
Last updated 06/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 079520
  • NY Medicaid 1336163963
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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