MEDICARE: DELINA J GALLAGHER SLPA

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
1	235Z00000X	Speech-Language Pathologist	SI8228	FL
2	222Q00000X	Developmental Therapist		FL

General Provider Information

NPI Number	:	1225909872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELINA J GALLAGHER SLPA

Provider Business Mailing Address
First Line	:	241 RIVERSIDE DR UNIT 705
Second Line	:
City	:	HOLLY HILL
State	:	FL
Zip	:	32117-4977
Country	:	US
Telephone Number	:	901-239-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 RIVERSIDE DR UNIT 705
Second Line	:
City	:	HOLLY HILL
State	:	FL
Zip	:	32117-4977
Country	:	US
Telephone Number	:	901-239-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	06/03/2026

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Directions to “ DELINA J GALLAGHER SLPA” Practice Location

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