Provider Demographics
NPI:1962827105
Name:GALLAGHER, CHRISTINE ELISE (MA, MT-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ELISE
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 WEST CHESTER PIKE
Mailing Address - Street 2:SUITE 115 MUSICWORKS
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2742
Mailing Address - Country:US
Mailing Address - Phone:610-449-9669
Mailing Address - Fax:
Practice Address - Street 1:2050 WEST CHESTER PIKE
Practice Address - Street 2:SUITE 115 MUSICWORKS
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-2742
Practice Address - Country:US
Practice Address - Phone:610-449-9669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10936225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028763630001Medicaid
PA1028763630002Medicaid
PA1028763630003Medicaid