Provider Demographics
NPI:1891334256
Name:GALYON, MAKAYLA SMITHERS (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:SMITHERS
Last Name:GALYON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 RICH ACRES SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-0006
Mailing Address - Country:US
Mailing Address - Phone:276-638-3366
Mailing Address - Fax:
Practice Address - Street 1:400 RICH ACRES SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-0006
Practice Address - Country:US
Practice Address - Phone:276-638-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202009186235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist