Provider Demographics
NPI:1851608657
Name:GALLAGHER, CLAUDIA M (MA, MED, CAGS)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:M
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MA, MED, CAGS
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:M
Other - Last Name:VIDAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 TER HEUN DR
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2525
Mailing Address - Country:US
Mailing Address - Phone:508-540-6550
Mailing Address - Fax:508-540-7480
Practice Address - Street 1:200 TER HEUN DR
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2525
Practice Address - Country:US
Practice Address - Phone:508-540-6550
Practice Address - Fax:508-540-7480
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health