Provider / Organization | NPI | Date Certified |
---|---|---|
CONNOR LEE GALLIK | 1790394880 | 2020-07-24 |
Connor Lee Gallik is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1790394880. Registration indicates Connor Lee Gallik is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical Child & Adolescent, ) (Psychologist Clinical Child & Adolescent, Behavioral Health & Social Service Providers) (Psychologist, )
Entity Type | Individual |
Provider Name | Dr. Connor Lee Gallik PHD |
Practice Office Address | 4800 SAND POINT WAY NE RA.5.120 SEATTLE, WA US |
Practice Office Telephone | 2069873414 |
Mailing Address | 4800 SAND POINT WAY NE RA.5.120 SEATTLE, WA 98105 US |
Code | Practice | License No State |
---|---|---|
103TC2200X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Child & Adolescent Psychologist Clinical Child & Adolescent Behavioral Health & Social Service Providers Psychologist | PY61271302
WA |