Provider Demographics
NPI:1033924469
Name:GAL, TALI
Entity type:Individual
Prefix:
First Name:TALI
Middle Name:
Last Name:GAL
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 1:10750 LENOX RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-5012
Mailing Address - Country:US
Mailing Address - Phone:754-204-4375
Mailing Address - Fax:
Practice Address - Street 1:2450 HOLLYWOOD BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6616
Practice Address - Country:US
Practice Address - Phone:754-204-4375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician