Provider Demographics
NPI:1942876362
Name:GALERA, PRISCILLA (MA)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:GALERA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HARDING ST
Mailing Address - Street 2:
Mailing Address - City:CHERRY VALLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01611-3023
Mailing Address - Country:US
Mailing Address - Phone:305-726-4125
Mailing Address - Fax:
Practice Address - Street 1:5 PAUL X TIVNAN DR
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-2126
Practice Address - Country:US
Practice Address - Phone:508-854-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health