Dr. Susana Castellanos, PhD
Psychologist, Clinical in Loma Linda, CA. Individual provider (NPI-1).
NPI number1538259148
StatusActive
Last updated in NPPESApr 7, 2025
Details
- NPI
- 1538259148
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susana Castellanos
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2006
- Certification date
- Apr 7, 2025
- Last updated
- Apr 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 22796 | CA | Yes |
| 103T00000X | Psychologist | 22796 | CA |
Practice location
11201 Benton StLoma Linda, CA 92357-1000
Phone 909-825-7084
Mailing address
101 Bodin CirTravis Afb, CA 94535-1809
Phone 707-423-5174
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