Michelle Delia Castro
Student in an Organized Health Care Education/Training Program in San Diego, CA. Individual provider (NPI-1).
NPI number1942931258
StatusActive
Last updated in NPPESAug 17, 2023
Details
- NPI
- 1942931258
- Entity type
- Individual (NPI-1)
- Name
- Michelle Delia Castro
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2022
- Certification date
- Aug 17, 2023
- Last updated
- Aug 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
3511 Camino Del Rio S Ste 303San Diego, CA 92108-4043
Phone 619-436-4263
Mailing address
2271 Alpine Blvd Ste AAlpine, CA 91901-1101
Other practice locations
1122 Broadway Ste 200
San Diego, CA 92101-5629
San Diego, CA 92101-5629
Phone 619-289-7322
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