Stephanie L Castro, MA
Speech-Language Pathologist, in Staten Island, NY. Individual provider (NPI-1).
NPI number1508339458
StatusActive
Last updated in NPPESJan 3, 2019
Details
- NPI
- 1508339458
- Entity type
- Individual (NPI-1)
- Name
- Stephanie L Castro
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2019
- Last updated
- Jan 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
77 Marsh AveStaten Island, NY 10314-5901
Phone 718-761-2507
Mailing address
77 Marsh AveStaten Island, NY 10314-5901
Phone 718-761-2507
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