Provider Demographics
NPI:1699255463
Name:CASAROTTO, BLAIR
Entity type:Individual
Prefix:
First Name:BLAIR
Middle Name:
Last Name:CASAROTTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 CHEVY CHASE DRIVE
Mailing Address - Street 2:SUITE 300 - #325
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1599
Mailing Address - Country:US
Mailing Address - Phone:512-399-0064
Mailing Address - Fax:
Practice Address - Street 1:7600 CHEVY CHASE DRIVE
Practice Address - Street 2:SUITE 300 - #325
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1599
Practice Address - Country:US
Practice Address - Phone:512-399-0064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist