Search › Connecticut › 183500000X
Gwynetta Gallup
NPI 1316480825 · on the registry since 2016 · sole proprietor
Practice
- Address
- 724 Queen St
Southington, CT 06489 - Phone
- (860) 621-7371
- Fax
- (860) 276-0243
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut