Individual
JOAN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 564-1735
Mailing address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 564-1735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0001318
CO
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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