Lorraine Madrid Gallegos, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP1630 Issued in AZ

Practice address

10640 N 28TH Dr Ste C104
Phoenix, AZ 85029-2937

Phone

(602) 626-8851

Fax

(602) 865-8020

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lorrie Madrid Gallegos Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1376799635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR STE C104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292937",
            "telephone_number": "602-626-8851",
            "fax_number": "602-865-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR STE C104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292937",
            "telephone_number": "602-626-8851",
            "fax_number": "602-865-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "LORRAINE",
        "middle_name": "MADRID",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP1630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRIE",
            "last_name": "GALLEGOS",
            "middle_name": "MADRID",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Enis Gallegos, PMHNP-BC
• Denielle Gallegos, LPC
• Isaac Manuel Gallegos
• Jennie Marie Gallegos
• Joseph Gallegos, PT, DPT
• Monica Deann Gallegos, M.S., CCC-SLP
• Parker Gallegos
• Chloe Gallello
• David Allen Galles, M.D.
• Melissa Marie Galli, DPM, MHA

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.