Mr. Charles Robert von Stael Gansa, MSCCC-SLP
Mr. Charles Robert von Stael Gansa, MSCCC-SLP is a Speech-Language Pathologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
448 Clinton St Apt 3Brooklyn, NY 11231-3409
Phone: (718) 490-9205
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 023023 (NY) |
|---|
Record details
| NPI number | 1710302658 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSCCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | March 1, 2014 |
| Last updated in NPPES | March 1, 2014 |
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