Doctor Name: | RYAN CASTO |
NPI Number: | 1477940757 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | E.0900351 |
Business Practice Address: | 7695 S County Road 25a Tipp City, OH - 453719215 |
Business Phone Number: | 9376674678 |
Business Fax Number: | |
Mailing Address: | 1360 Kevin Dr, FAIRBORN |
State: | OH |
Postal Code: | 453245661 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/23/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E.0900351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |