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Individual

AMANDA YVONNE CASTILLO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 N AUSTIN ST, SAN BENITO, TX 78586-4700
(956) 361-6220
Mailing address
600 N AUSTIN ST, SAN BENITO, TX 78586-4700
(956) 361-6220
(956) 541-2502

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36622
TX
235Z00000X
Speech-Language Pathologist
Primary
124264
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124264
STATE LICENSE
TX
01
36622
STATE LICENSE
TX
Enumeration date
01/20/2012
Last updated
08/05/2026
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