Provider Demographics
NPI:1528186707
Name:GASKELL, DANIEL JAMES (CCC/SLP)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAMES
Last Name:GASKELL
Suffix:
Gender:M
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ELM AVENUE
Mailing Address - Street 2:CRCH 7F REHABILITATION
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013
Mailing Address - Country:US
Mailing Address - Phone:540-985-8550
Mailing Address - Fax:
Practice Address - Street 1:1906 BELLEVIEW AVENUE
Practice Address - Street 2:CRMH
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014
Practice Address - Country:US
Practice Address - Phone:540-981-7284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004753235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist