Provider Demographics
NPI:1508294950
Name:GALLAY, PAULA
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:GALLAY
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 1:17400 MONTEREY ST
Mailing Address - Street 2:STE 2B
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-7318
Mailing Address - Country:US
Mailing Address - Phone:408-612-8877
Mailing Address - Fax:
Practice Address - Street 1:17400 MONTEREY ST
Practice Address - Street 2:STE 2B
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-7318
Practice Address - Country:US
Practice Address - Phone:408-612-8877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16905235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist