Individual
MS. KATHLEEN O. CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 CAMINO SIERRA VIS, SANTA FE, NM 87505-1007
(505) 467-2504
Mailing address
5 LAGUNA LN, SANTA FE, NM 87508-2242
(505) 466-0316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2630
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T6337
—
NM
Enumeration date
03/20/2007
Last updated
07/08/2007
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