| Doctor Name: | HECTOR RENE MATASCASTILLO |
| NPI Number: | 1093051526 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LICSW, LSSW |
| License Number: | 465187 |
| Business Practice Address: | 10591 165th St W Lakeville, MN - 550443528 |
| Business Phone Number: | 9528981133 |
| Business Fax Number: | |
| Mailing Address: | 1286 Burr St, SAINT PAUL |
| State: | MN |
| Postal Code: | 551303514 |
| Phone Number: | 6123091264 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2013 |
| NPI Last Update Date: | 01/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 465187 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |