Healthcare Provider Details

I. General information

NPI: 1487534848
Provider Name (Legal Business Name): BETHANY GALLAGHER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7103 SHEFFIELD RD
BALTIMORE MD
21212-1628
US

IV. Provider business mailing address

7103 SHEFFIELD RD
BALTIMORE MD
21212-1628
US

V. Phone/Fax

Practice location:
  • Phone: 412-445-8824
  • Fax:
Mailing address:
  • Phone: 412-445-8824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: BETHANY GALLAGHER
Title or Position: LACTATION COUNSELOR/SPEECH PATHOLOG
Credential: CCC-SLP, IBCLC
Phone: 412-445-8825