Provider Demographics
NPI:1154052702
Name:GALLAHER, CAITLYN M (AUD)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:M
Last Name:GALLAHER
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 1:1407 EISENHOWER BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3262
Mailing Address - Country:US
Mailing Address - Phone:814-809-8988
Mailing Address - Fax:814-703-9263
Practice Address - Street 1:1407 EISENHOWER BLVD STE 104
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3262
Practice Address - Country:US
Practice Address - Phone:814-809-8988
Practice Address - Fax:814-703-9263
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006815237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter