Provider Demographics
NPI:1093045098
Name:ZAHRAOUI, GISELLE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:
Last Name:ZAHRAOUI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:76227-8538
Mailing Address - Country:US
Mailing Address - Phone:321-662-8993
Mailing Address - Fax:
Practice Address - Street 1:9400 N CENTRAL EXPY STE 306
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5039
Practice Address - Country:US
Practice Address - Phone:321-662-8993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-14
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA9344235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist