Provider Demographics
NPI:1487534848
Name:BETHANY GALLAGHER LLC
Entity type:Organization
Organization Name:BETHANY GALLAGHER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION COUNSELOR/SPEECH PATHOLOG
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP, IBCLC
Authorized Official - Phone:412-445-8825
Mailing Address - Street 1:7103 SHEFFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1628
Mailing Address - Country:US
Mailing Address - Phone:412-445-8824
Mailing Address - Fax:
Practice Address - Street 1:7103 SHEFFIELD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-1628
Practice Address - Country:US
Practice Address - Phone:412-445-8824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty