Provider Demographics
NPI:1588167597
Name:DOROSKY, CASEY J WOZNIAK (MSED,CCC-SLP)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:J WOZNIAK
Last Name:DOROSKY
Suffix:
Gender:F
Credentials:MSED,CCC-SLP
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:J
Other - Last Name:WOZNIAK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED,CCC-SLP
Mailing Address - Street 1:200 BERKLEY ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-1302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 BERKLEY ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-1302
Practice Address - Country:US
Practice Address - Phone:804-365-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202008599235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist