Provider Demographics
NPI:1891882775
Name:GALARIS, RICK J (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:J
Last Name:GALARIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 OLD HARMONY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4161
Mailing Address - Country:US
Mailing Address - Phone:302-737-9244
Mailing Address - Fax:302-737-6244
Practice Address - Street 1:930 OLD HARMONY RD
Practice Address - Street 2:SUITE C
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4161
Practice Address - Country:US
Practice Address - Phone:302-737-9244
Practice Address - Fax:302-737-6244
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000331103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000782919Medicaid
DE536845OtherMEDICARE UNSPECIFIED
DE0000782919OtherDE PHYSICIANS CARE
DE030407OtherVALUE OPTIONS
DE173811OtherCOMPSYCH
DEG01168OtherMEDICARE UNSPECIFIED
DE1000030417OtherDIAMOND STATE PARTNERS