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Individual

ROBERT CASTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 573-2351
Mailing address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 573-2351

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001924
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0023
CAREFIRST DC
VA
01
185163-000
MAGELLAN
VA
01
202924
ANTHEM
VA
01
4299797
AETNA
01
445086
MAMSI
01
513434
NCPPO
VA
Enumeration date
07/18/2005
Last updated
11/10/2011
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