Provider Demographics
NPI:1508927724
Name:CASALDUC, GISELLE (MS)
Entity Type:Individual
Prefix:MRS
First Name:GISELLE
Middle Name:
Last Name:CASALDUC
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 SW 5TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2743
Mailing Address - Country:US
Mailing Address - Phone:786-493-9471
Mailing Address - Fax:305-260-7050
Practice Address - Street 1:7211 SW 5TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2743
Practice Address - Country:US
Practice Address - Phone:786-493-9471
Practice Address - Fax:305-260-7050
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8465235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist