Provider Demographics
NPI:1588457378
Name:GALLI, THERESA PATRICIA (MA, NCC)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:PATRICIA
Last Name:GALLI
Suffix:
Gender:X
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DEERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2146
Mailing Address - Country:US
Mailing Address - Phone:610-933-8110
Mailing Address - Fax:
Practice Address - Street 1:100 DEERFIELD LN
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2146
Practice Address - Country:US
Practice Address - Phone:610-933-8110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor