Individual
MISS COLLEEN PATRICIA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
100 MEMORIAL DR, CAMBRIDGE, MA 02142-1314
(717) 979-0570
Mailing address
5 MIDDLESEX AVENUE, SOMERVILLE, MA 02145
(717) 979-0570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7386
MA
235Z00000X
Speech-Language Pathologist
Primary
SL008856
PA
Other
Enumeration date
11/26/2008
Last updated
03/22/2011
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