Individual
LISA GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5886 DE ZAVALA RD STE 102, SAN ANTONIO, TX 78249-2269
(210) 802-4808
(210) 802-4809
Mailing address
5886 DE ZAVALA RD STE 102, SAN ANTONIO, TX 78249-2269
(210) 802-4808
(210) 802-4809
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043738883
SPEECH STRONG
TX
Enumeration date
11/07/2018
Last updated
11/07/2018
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