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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLY A GALLENBERG, PH.D.

Active

SHELLY A GALLENBERG, PH.D. is a Psychologist healthcare provider located in ANTIGO, Wisconsin. NPI 1821313859 is currently active in the NPPES registry. Verify at CMS.

Psychologist · ANTIGO, WI

Registration Details

NPI Number
1821313859
Provider Type
Individual
Gender
Female
NPI Issued
Apr 1, 2010 (16.346959950063 yrs)
Last Updated
Feb 3, 2014
Licenses
4293-125 (WI)
3111 (WI)

Practice Information

Address
1225 LANGLADE RD
ANTIGO, WI, 544092762
Browse WI providers · Browse ZIP 54409
Phone
7156276694
Fax
7156276645
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.