Provider Demographics
NPI:1962651380
Name:GALGANO, JESSICA (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:GALGANO
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 7TH AVE.
Mailing Address - Street 2:SUITE 305
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5012
Mailing Address - Country:US
Mailing Address - Phone:212-430-6800
Mailing Address - Fax:212-430-6550
Practice Address - Street 1:352 7TH AVE.
Practice Address - Street 2:SUITE 305
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5012
Practice Address - Country:US
Practice Address - Phone:212-430-6800
Practice Address - Fax:212-430-6550
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2015-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104290-1235Z00000X
CASP11697235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist