# CASTELO NEUROPSYCHOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750633541
- **Authorized official:** DR. JESSICA MIMI CASTELO PH.D. (CLINICAL NEUROPSYCHOLOGIST)
- **Authorized official phone:** (617) 290-3475

## Contact information

- **Practice address:** 701 E HAMPDEN AVE, SUITE 415, ENGLEWOOD, CO 80113-2736
- **Practice address phone:** (617) 290-3475
- **Mailing address:** 701 E HAMPDEN AVE, SUITE 415, ENGLEWOOD, CO 80113-2736
- **Mailing address phone:** (617) 290-3475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 3756 | CO | Yes |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 12/05/2012
