Provider Demographics
NPI:1619209103
Name:CASAS, GINGER (MA CCC/SLP)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:CASAS
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 IH 10 W
Mailing Address - Street 2:SUITE 530
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4700
Mailing Address - Country:US
Mailing Address - Phone:210-344-5437
Mailing Address - Fax:210-344-5535
Practice Address - Street 1:7800 IH 10 W
Practice Address - Street 2:SUITE 530
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4700
Practice Address - Country:US
Practice Address - Phone:210-344-5437
Practice Address - Fax:210-344-5535
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101629235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist