Doctor Name: | MARIA J CASTRONOVO |
NPI Number: | 1851563852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 960010 |
Business Practice Address: | 215 S Eagle St New Buffalo, MI - 491171337 |
Business Phone Number: | 2198774203 |
Business Fax Number: | |
Mailing Address: | Po Box 18, MICHIGAN CITY |
State: | IN |
Postal Code: | 46361 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 03/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 960010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |