Provider Demographics
NPI:1467746438
Name:RAPALLO, GALE M (MFT)
Entity Type:Individual
Prefix:
First Name:GALE
Middle Name:M
Last Name:RAPALLO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 N GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-2111
Mailing Address - Country:US
Mailing Address - Phone:626-463-3170
Mailing Address - Fax:
Practice Address - Street 1:1543 N GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-2111
Practice Address - Country:US
Practice Address - Phone:626-463-3170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50135106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist