Individual
COURTNEY GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6230 HARRISON RD, FREDERICKSBURG, VA 22407-6364
(540) 548-4864
Mailing address
650 POTOMAC AVE APT 232, ALEXANDRIA, VA 22301-3069
(585) 727-3052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000561
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2204000561
—
VA
Enumeration date
07/27/2020
Last updated
07/27/2020
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