Provider Demographics
NPI:1629548961
Name:PERCY, HELEN GALLAGHER (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:GALLAGHER
Last Name:PERCY
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 1:6115 NEWPORT TER
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-7682
Mailing Address - Country:US
Mailing Address - Phone:301-668-5262
Mailing Address - Fax:
Practice Address - Street 1:4570 ROUNDHILL RD
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-6799
Practice Address - Country:US
Practice Address - Phone:410-313-2828
Practice Address - Fax:410-313-2829
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02658235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist