Mr Vincent Thomas Gollogly, PHD in Lakewood, WA - Psychologist

Mr Vincent Thomas Gollogly, PHD is a Psychologist - Clinical based in Lakewood, Washington. Mr Vincent Thomas Gollogly is licensed to practice in Washington (license number PY00002233) and his current practice location is 11444 Gravelly Lake Dr Sw, Lakewood, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 223-2525.

NPI number for Mr Vincent Thomas Gollogly is 1043686991 and his current mailing address is 11444 Gravelly Lake Dr Sw, Lakewood, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043686991.

Contact Information

	Mr Vincent Thomas Gollogly, PHD
	11444 Gravelly Lake Dr Sw, Lakewood, WA 98499-1404
	(253) 223-2525
	Not Available

Healthcare Provider's Profile

Full Name	Mr Vincent Thomas Gollogly
Gender	Male
Speciality	Psychologist - Clinical
Location	11444 Gravelly Lake Dr Sw, Lakewood, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1043686991
Provider Enumeration Date: 08/14/2015
Last Update Date: 08/14/2015

Medical Identifiers

Medical identifiers for Mr Vincent Thomas Gollogly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043686991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY00002233 (Washington)	Primary
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	PY00002233 (Washington)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Vincent Thomas Gollogly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Vincent Thomas Gollogly, PHD 11444 Gravelly Lake Dr Sw, Lakewood, WA 98499-1404 Ph: (253) 223-2525	Mr Vincent Thomas Gollogly, PHD 11444 Gravelly Lake Dr Sw, Lakewood, WA 98499-1404 Ph: (253) 223-2525

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Psychologist in Lakewood, WA

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Dr. Pamela Lyn Sarlund-heinrich, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5761
Yuliya Johnson, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11411 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-581-9002
Dr. Hillary Schaefer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10503 83rd Ave Sw, Lakewood, WA 98498 Phone: 608-217-3076
Dr. Constance B. Sharp, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 12430 Lakeland Ave Sw, Lakewood, WA 98498 Phone: 253-279-5876

Mr Vincent Thomas Gollogly, PHD - Psychologist in Lakewood, WA