Provider Demographics
NPI:1851546378
Name:GALLAGHER, DONNA P (MSED,CCC, SLP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:P
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MSED,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:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:LAKE KATRINE
Mailing Address - State:NY
Mailing Address - Zip Code:12449-0737
Mailing Address - Country:US
Mailing Address - Phone:845-247-0668
Mailing Address - Fax:845-246-3710
Practice Address - Street 1:9 DWIGHT ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4407
Practice Address - Country:US
Practice Address - Phone:845-473-1658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002281-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist