Provider Demographics
NPI:1508204785
Name:GASCAY, LISA NICOLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:NICOLE
Last Name:GASCAY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:NICOLE
Other - Last Name:BATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:PO BOX 3293
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34430-3293
Mailing Address - Country:US
Mailing Address - Phone:352-462-7003
Mailing Address - Fax:
Practice Address - Street 1:20170 E PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34432-6032
Practice Address - Country:US
Practice Address - Phone:352-462-7003
Practice Address - Fax:833-252-6409
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA1575231H00000X
FLAY2077231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist