Provider Demographics
NPI:1245380609
Name:KASPER, DEANNA GAYLE (LMHC)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:GAYLE
Last Name:KASPER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 MARKET ST STE 204
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-1684
Mailing Address - Country:US
Mailing Address - Phone:409-770-9119
Mailing Address - Fax:
Practice Address - Street 1:2121 MARKET ST STE 204
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-1684
Practice Address - Country:US
Practice Address - Phone:409-770-9119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12915101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health