Provider Demographics
NPI:1427408111
Name:GABRIEL, CASEY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 ROUTE 31
Mailing Address - Street 2:KESSLER REHABILITATION CENTER
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5793
Mailing Address - Country:US
Mailing Address - Phone:908-788-3777
Mailing Address - Fax:
Practice Address - Street 1:194 ROUTE 31
Practice Address - Street 2:KESSLER REHABILITATION CENTER
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5793
Practice Address - Country:US
Practice Address - Phone:908-788-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00734500235Z00000X
NJ873002235Z00000X
NJ12136383235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist