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Alexandra Gallagher Ms Ccc-Slp LLC

Speech-Language Pathologist, in Philadelphia, PA. Organization (NPI-2).

NPI number1164039616
StatusActive
Last updated in NPPESMar 25, 2021

Details

NPI
1164039616
Entity type
Organization (NPI-2)
Legal business name
Alexandra Gallagher Ms Ccc-Slp LLC
Organization subpart
No
Enumeration date
Sep 29, 2020
Certification date
Mar 25, 2021
Last updated
Mar 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Other names

  • Alexandra Gallagher Slp (Other Name)

Practice location

1326 N Mascher St Unit E
Philadelphia, PA 19122-4630

Phone 772-359-6469 · Fax 833-227-0462

Mailing address

1326 N Mascher St Unit E
Philadelphia, PA 19122-4630

Phone 484-301-0154 · Fax 888-368-9574

Authorized official

Alexandra Gallagher
Speech-Language Pathologist
4843010154

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