Individual ProviderJosephine Segal GallupMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address6097 Claremont Ave, Oakland, CA 94618-1222(510) 655-2068PECOS EnrollmentBased on the most recent information from CMS, provider Josephine Segal Gallup does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1932491016Provider TypeIndividualFull NameGallup, Josephine SegalTitleDr.CredentialPSY.D., LMFTGenderFemaleSole ProprietorYesEnumeration Date5/9/2011Last Updated5/9/2011Contact InformationPractice LocationPractice Address6097 Claremont Ave, Oakland, CA 94618-1222Phone(510) 655-2068FaxUnlisted FaxMailing LocationMailing Address6097 Claremont Ave, Oakland, CA 94618-1222PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFT24434California