Doctor Name: | MS. ANGELA SUSAN GALLAGHER |
NPI Number: | 1114077294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC SLP |
License Number: | 22003513A |
Business Practice Address: | 801 E Lasalle South Bend, IN - 46617 |
Business Phone Number: | 5742377841 |
Business Fax Number: | 5744726294 |
Mailing Address: | 801 E Lasalle, SOUTH BEND |
State: | IN |
Postal Code: | 46617 |
Phone Number: | 5742377841 |
Fax Number: | 5744726294 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22003513A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |