Provider Demographics
NPI:1316012651
Name:GALLOWAY, ELIZABETH (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:GALLOWAY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 OLD FOREST CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5420
Mailing Address - Country:US
Mailing Address - Phone:919-260-4286
Mailing Address - Fax:919-724-4124
Practice Address - Street 1:250 OLD FOREST CREEK DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5420
Practice Address - Country:US
Practice Address - Phone:919-260-4286
Practice Address - Fax:919-724-4124
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6661235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7212211Medicaid
NC7412231Medicaid