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NPI Code Detail

MEDICARE: LEANDRA GALLMON

MEDICARE: LEANDRA GALLMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1841125465
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANDRA GALLMON
Provider Business Mailing Address
First Line : 4810 LAKE ONTARIO WAY
Second Line :
City : BOWIE
State : MD
Zip : 20720-3695
Country : US
Telephone Number : 202-695-9605
Fax Number :
Provider Business Practice Location Address
First Line : 115 SUDBROOK LN STE A
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-4184
Country : US
Telephone Number : 443-918-5575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ LEANDRA GALLMON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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