Individual
KATHLEEN CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
600 E MAIN ST APT 308, LOUISVILLE, KY 40202-1083
(859) 803-2869
(502) 426-2045
Mailing address
600 E MAIN ST APT 308, LOUISVILLE, KY 40202-1083
(859) 803-2869
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140024
KY
235Z00000X
Speech-Language Pathologist
3056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12089467
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
MD
01
—
140024
KENTUCKY BOARD OF SPEECH-LANGUAGE PATHOLOGY
KY
Enumeration date
08/10/2012
Last updated
11/05/2020
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