Doctor Name: | KELLY OWENS GALLOWAY |
NPI Number: | 1275971723 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 3196 |
Business Practice Address: | 226 Roper Rd Piedmont, SC - 296738431 |
Business Phone Number: | 8648505950 |
Business Fax Number: | 8648505951 |
Mailing Address: | 226 Roper Rd, PIEDMONT |
State: | SC |
Postal Code: | 296738431 |
Phone Number: | 8648505950 |
Fax Number: | 8648505951 |
NPI Enumeration Date: | 06/06/2013 |
NPI Last Update Date: | 06/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |