Individual
CARISSA NOELLE GAASCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
714 N CHADWICK ST UNIT 2, PHILADELPHIA, PA 19130-2862
(610) 389-9573
Mailing address
714 N CHADWICK ST UNIT 2, PHILADELPHIA, PA 19130-2862
(610) 389-9573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007360
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86105418
CDR
PA
01
—
DN007360
PALS
PA
Enumeration date
03/22/2022
Last updated
03/22/2022
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