Provider Demographics
NPI:1760036610
Name:GALAN, CHARDEE ASHLEY
Entity Type:Individual
Prefix:
First Name:CHARDEE
Middle Name:ASHLEY
Last Name:GALAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 MARYLAND AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2725
Mailing Address - Country:US
Mailing Address - Phone:626-379-1660
Mailing Address - Fax:
Practice Address - Street 1:3811 O'HARA STREET
Practice Address - Street 2:BELLEFIELD TOWERS, 8TH FLOOR/ROOM 803
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:626-379-1660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program