Healthcare Provider Details

I. General information

NPI: 1518884071
Provider Name (Legal Business Name): EMILY GALASSO AU.D.
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 CREEDMOOR RD STE 111
RALEIGH NC
27612-4500
US

IV. Provider business mailing address

4701 CREEDMOOR RD STE 111
RALEIGH NC
27612-4500
US

V. Phone/Fax

Practice location:
  • Phone: 919-256-2898
  • Fax:
Mailing address:
  • Phone: 919-256-2898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number30005055
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: