Individual
SHERRY A. GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
213 PASEO DEL CANON E, TAOS, NM 87571-6239
(505) 758-5200
Mailing address
PO BOX 631, QUESTA, NM 87556-0631
(505) 586-2116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2028
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S6424
—
NM
Enumeration date
10/12/2006
Last updated
07/08/2007
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