Provider Demographics
NPI:1548932320
Name:GALLAGHER, ALEXIS MICHELE (AUD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:MICHELE
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WILLOWBROOK LN STE 240
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-5697
Mailing Address - Country:US
Mailing Address - Phone:610-280-3279
Mailing Address - Fax:
Practice Address - Street 1:200 WILLOWBROOK LN STE 240
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-5697
Practice Address - Country:US
Practice Address - Phone:610-280-3279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006765231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist