Doctor Name: | REBECCA GALLANT |
NPI Number: | 1891195533 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | P-0570 |
Business Practice Address: | 235 Myrtle St Manchester, NH - 031044314 |
Business Phone Number: | 6036273811 |
Business Fax Number: | |
Mailing Address: | 55 Main St, Apt 326 NEWMARKET |
State: | NH |
Postal Code: | 038571666 |
Phone Number: | 2074681590 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2014 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | P-0570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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 |