Provider Demographics
NPI:1154868636
Name:GALLAWAY, THERA
Entity Type:Individual
Prefix:
First Name:THERA
Middle Name:
Last Name:GALLAWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N WHITFIELD ST
Mailing Address - Street 2:SUITE 780
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3039
Mailing Address - Country:US
Mailing Address - Phone:412-361-2570
Mailing Address - Fax:412-361-2599
Practice Address - Street 1:211 N WHITFIELD ST
Practice Address - Street 2:SUITE 780
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3039
Practice Address - Country:US
Practice Address - Phone:412-361-2570
Practice Address - Fax:412-361-2599
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health