Individual
DR. IVETTE LAURA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12920 DAIRY ASHFORD RD, STE. 105, SUGAR LAND, TX 77478-3177
(713) 592-8952
(713) 592-9266
Mailing address
6565 WEST LOOP S, STE. 600, BELLAIRE, TX 77401-3500
(713) 592-8952
(713) 592-9266
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
32615
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288984201
—
TX
Enumeration date
03/22/2011
Last updated
06/28/2013
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