Provider Demographics
NPI:1386963890
Name:GALAMBOS, STEPHEN JAY (MS)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:JAY
Last Name:GALAMBOS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 S HAVERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-1248
Mailing Address - Country:US
Mailing Address - Phone:610-792-0655
Mailing Address - Fax:
Practice Address - Street 1:307 S HAVERFIELD DR
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:PA
Practice Address - Zip Code:19475-1248
Practice Address - Country:US
Practice Address - Phone:610-792-0655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst