Individual
DR. SARA CASTILLO-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2233 DEERFIELD DR, FORT MILL, SC 29715-6941
(803) 548-2527
Mailing address
2233 DEERFIELD DR, FORT MILL, SC 29715-6941
(803) 548-2527
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
000601
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342725
—
SC
Enumeration date
10/10/2006
Last updated
06/03/2013
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