Provider Demographics
NPI:1891002622
Name:GASLEVICH, CARAJUDE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CARAJUDE
Middle Name:
Last Name:GASLEVICH
Suffix:
Gender:F
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 1:6108 YARDLEY WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3909
Mailing Address - Country:US
Mailing Address - Phone:610-416-8819
Mailing Address - Fax:
Practice Address - Street 1:6108 YARDLEY WAY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3909
Practice Address - Country:US
Practice Address - Phone:610-416-8819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010112235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist