Provider Demographics
NPI:1023340023
Name:GALLAGHER, ROBERT PATRICK (PH D)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PATRICK
Last Name:GALLAGHER
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 SIDNEY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1717
Mailing Address - Country:US
Mailing Address - Phone:412-381-9141
Mailing Address - Fax:412-381-7737
Practice Address - Street 1:1809 SIDNEY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1717
Practice Address - Country:US
Practice Address - Phone:412-381-9141
Practice Address - Fax:412-381-7737
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-001747-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical