Provider Demographics
NPI:1871397604
Name:GALLAGHER, ARTHUR (PSYD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:GALLAGHER
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0051
Mailing Address - Country:US
Mailing Address - Phone:631-621-2744
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 51
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-0051
Practice Address - Country:US
Practice Address - Phone:631-621-2744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026592103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical