Provider Demographics
NPI:1851670384
Name:DASSE, GESLYN
Entity Type:Individual
Prefix:
First Name:GESLYN
Middle Name:
Last Name:DASSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 VFW PKWY
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-1332
Mailing Address - Country:US
Mailing Address - Phone:617-325-2993
Mailing Address - Fax:
Practice Address - Street 1:540 VFW PKWY
Practice Address - Street 2:SUITE 8
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-1332
Practice Address - Country:US
Practice Address - Phone:617-325-2993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator