Individual
DR. MELISSA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
777 W PUTNAM AVE STE 300, GREENWICH, CT 06830-5000
(203) 649-8200
(203) 648-8211
Mailing address
777 W PUTNAM AVE STE 300, GREENWICH, CT 06830-5000
(203) 649-8200
(203) 649-8211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003993
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040655
—
CT
Enumeration date
06/05/2009
Last updated
01/18/2023
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