Provider Demographics
NPI:1366329815
Name:DAMMANN, GINGER A (CASAC MAEDU)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:A
Last Name:DAMMANN
Suffix:
Gender:F
Credentials:CASAC MAEDU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SEAFIELD LN
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-2719
Mailing Address - Country:US
Mailing Address - Phone:631-288-1122
Mailing Address - Fax:631-730-1027
Practice Address - Street 1:7 SEAFIELD LN
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-2719
Practice Address - Country:US
Practice Address - Phone:631-288-1122
Practice Address - Fax:631-730-1027
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor