Provider Demographics
NPI:1134450356
Name:GALAKATOS, ALEXIA (MA,CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALEXIA
Middle Name:
Last Name:GALAKATOS
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 1:2166 GOLD HILL RD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:TEGA CAY
Mailing Address - State:SC
Mailing Address - Zip Code:29708-9351
Mailing Address - Country:US
Mailing Address - Phone:803-802-5508
Mailing Address - Fax:
Practice Address - Street 1:2166 GOLD HILL RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:TEGA CAY
Practice Address - State:SC
Practice Address - Zip Code:29708-9351
Practice Address - Country:US
Practice Address - Phone:803-802-5508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8692235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist