Doctor Name: | JASMINE CASTELLON |
NPI Number: | 1245652874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SI2345 |
Business Practice Address: | 6405 Nw 36th St Ste 105 Virginia Gardens, FL - 331666977 |
Business Phone Number: | 3055262426 |
Business Fax Number: | 3055261182 |
Mailing Address: | 2153 Coral Way # 602, CORAL GABLES |
State: | FL |
Postal Code: | 331452631 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/16/2014 |
NPI Last Update Date: | 01/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SI2345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |