Provider Demographics
NPI:1043809668
Name:GASKINS, CASEY RENAY (AUD)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:RENAY
Last Name:GASKINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1680
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-1680
Mailing Address - Country:US
Mailing Address - Phone:301-977-6317
Mailing Address - Fax:301-977-8503
Practice Address - Street 1:4475 REGENCY PL STE 302
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3077
Practice Address - Country:US
Practice Address - Phone:301-687-2372
Practice Address - Fax:301-687-2373
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01542231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD01542OtherMARYLAND BORAD OF EXAMINERS FOR AUD, HAD, AND SLP