Provider Demographics
NPI:1790031169
Name:GALLAGHER, JULIA M (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 MEMORY LANE EXT
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9601
Mailing Address - Country:US
Mailing Address - Phone:717-757-5433
Mailing Address - Fax:717-751-0391
Practice Address - Street 1:1500 MEMORY LANE EXT
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9601
Practice Address - Country:US
Practice Address - Phone:717-757-5433
Practice Address - Fax:717-751-0391
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW128638104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker