Individual
DIANE PATRICIA CASTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1101 SUMMIT RD, CINCINNATI, OH 45237-2621
(513) 948-3600
Mailing address
1101 SUMMIT RD, CINCINNATI, OH 45237-2621
(513) 948-3600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4044
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP07316
MEDICARE PTAN
OH
Enumeration date
12/16/2009
Last updated
03/31/2010
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