Provider Demographics
NPI:1669733366
Name:GALARNEAU, DEEDRA A (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DEEDRA
Middle Name:A
Last Name:GALARNEAU
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2318 COUNTY ROAD 39
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14469-9507
Mailing Address - Country:US
Mailing Address - Phone:585-657-7937
Mailing Address - Fax:
Practice Address - Street 1:2318 COUNTY ROAD 39
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NY
Practice Address - Zip Code:14469-9507
Practice Address - Country:US
Practice Address - Phone:585-657-7937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016575-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist