Organization
SMALLTALKERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JO GALLAHER MS, CCCSP (SPEECH LANGUAGE PATHOLOGIST)
(304) 825-1656
Entity
Organization
Contact information
Practice address
14 SAVAGE LN, FARMINGTON, WV 26571-9725
(304) 825-1656
(304) 825-1657
Mailing address
250 LAKEWOOD CTR, MORGANTOWN, WV 26508-4457
(304) 825-1656
(304) 825-1657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0727
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9409224000
—
WV
Enumeration date
02/07/2012
Last updated
02/07/2012
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