Individual
DENELL MARTHA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
3265 BIDDLE RD, MEDFORD, OR 97504
(541) 816-4747
(541) 787-4011
Mailing address
3265 BIDDLE RD, MEDFORD, OR 97504
(541) 816-4747
(541) 787-4011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14054
OR
Other
Enumeration date
02/09/2015
Last updated
10/05/2018
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