National Provider Identifier

Richard Sebastian Gallagher, LMFT

Richard Sebastian Gallagher, LMFT is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Ithaca, NY and a listed phone number of (607) 227-2252.

NPI 1750647723Ithaca, NYMarriage & Family Therapist

Profile Overview

NPI
1750647723
Provider Type
Individual
Primary Specialty
Marriage & Family Therapist
Enumeration Date
April 04, 2012
Last Updated
October 18, 2023

Practice Location

  • 744 S Meadow St
  • Suite 450 #1096
  • Ithaca, NY 14850-5398

Phone: (607) 227-2252

Mailing Address

  • PO Box 4023
  • Ithaca, NY 14852-4023

Specialties

  • Marriage & Family Therapist (106H00000X)
Full Record
NPI
1750647723
Entity Type
Individual
Last Name
Gallagher
First Name
Richard
Middle Name
Sebastian
Name Prefix
Mr.
Credential
LMFT
Mailing Street Address
PO Box 4023
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14852-4023
Mailing Country
US
Mailing Phone
(607) 227-2252
Mailing Fax
(607) 235-5003
Practice Street Address
744 S Meadow St
Practice Address Line 2
Suite 450 #1096
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5398
Practice Country
US
Practice Phone
(607) 227-2252
Practice Fax
(607) 235-5003
Enumeration Date
April 04, 2012
Last Updated
October 18, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
October 18, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Marriage & Family Therapist (106H00000X)