Individual
MS. MORIA MALAT GALLAGHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10721 SMETANA RD, #220, MINNETONKA, MN 55343-8080
(952) 936-9215
(952) 936-9942
Mailing address
13024 EUROPA TRL N, HUGO, MN 55038-4410
(651) 482-9126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100722
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39G11GA
BLUE CROSS/BLUE SHIELD
MN
01
—
64-01779
MEDICA
MN
01
—
HP34800
HEALTHPARTNERS
MN
Enumeration date
03/16/2006
Last updated
07/08/2007
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