Provider Demographics
NPI:1790338812
Name:GILES, CARISSA ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CARISSA
Middle Name:ANN
Last Name:GILES
Suffix:
Gender:
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:CARISSA
Other - Middle Name:ANN
Other - Last Name:SALSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1900 GREENBRIAR CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-3609
Mailing Address - Country:US
Mailing Address - Phone:940-727-9988
Mailing Address - Fax:
Practice Address - Street 1:802 SOUTH LEE STREET
Practice Address - Street 2:
Practice Address - City:VALLEY VIEW
Practice Address - State:TX
Practice Address - Zip Code:76272
Practice Address - Country:US
Practice Address - Phone:940-665-0773
Practice Address - Fax:940-668-7361
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116212235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist