Individual
MARYELLEN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-3940
Mailing address
1195 NORTH AVE, APT 304, BURLINGTON, VT 05408-2812
(207) 233-9611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0116056
VT
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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