Gallagher, Moria Malat

Gallagher, Moria Malat is an individual health care provider with primary practice located at 10721 Smetana Rd #220, Minnetonka MN 55343-8080. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gallagher, Moria Malat can be contacted via phone (952) 936-9215.

Contact Information

Primary practice address
10721 Smetana Rd #220 Minnetonka MN 55343-8080
Fax: (952) 936-9942
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 100722 Minnesota

Profile Details

NPI number 1871562314
LBN Legal business name Gallagher, Moria Malat
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871562314 NPPES
Minnesota Other 39G11GA BLUE CROSS/BLUE SHIELD
Minnesota Other 64-01779 BLUE CROSS/BLUE SHIELD
Minnesota Other HP34800 BLUE CROSS/BLUE SHIELD

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