| Nicole W Gallagher, MS, CCC-SLP | |
|
149 Sylvan St, Danvers, MA 01923-3564 | |
| (978) 774-7570 | |
| (978) 777-8547 |
| Full Name | Nicole W Gallagher |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 149 Sylvan St, Danvers, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245461490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6347 (Massachusetts) | Secondary |
| 235Z00000X | Speech-language Pathologist | 004217 (Connecticut) | Primary |
| Provider Name | The University Of Connecticut |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114011830 PECOS PAC ID: 2062507817 Enrollment ID: O20220706000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole W Gallagher, MS, CCC-SLP 263 Farmington Avenue, Farmington, CT 06030-8082 Ph: (860) 487-9200 | Nicole W Gallagher, MS, CCC-SLP 149 Sylvan St, Danvers, MA 01923-3564 Ph: (978) 774-7570 |
Lisbeth Elle Petrozza, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 152 Sylvan St Fl 2, Danvers, MA 01923 Phone: 800-804-5041 | |
Shannon Nicole Lee, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6 Southside Rd, Danvers, MA 01923 Phone: 978-762-4878 | |
Emma Bychok, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Newbury St, Danvers, MA 01923 Phone: 800-778-5560 | |
Mrs. Nancy Elisabeth Santana, MS CCC-SLP CEIS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 149 Sylvan St, Danvers, MA 01923 Phone: 978-774-7570 Fax: 978-777-8547 | |
Amy Parker, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3 Electronics Ave, Danvers, MA 01923 Phone: 978-750-0300 | |
Valentina Orozco-bakovic, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Southside Rd, Danvers, MA 01923 Phone: 855-696-3272 | |
Taylor Gardella, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 149 Sylvan St, Danvers, MA 01923 Phone: 978-774-7570 |