| NPI | 1306521315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A GALLARDO Psychiatrist, Sole Proprietor 907-600-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-08-22 |