Individual
DR. LUISA PASTORA CASTELLANOS
Active
Individual
DR. LUISA PASTORA CASTELLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD PSYCHOLOGIST, CO
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1297
NM
103TC1900X
Counseling Psychologist
Primary
1297
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM003M73
BLUE CROSS BLUE SHIELD
NM
05
—
53784740
—
NM
01
—
86998
PRESBYTERIAN
NM
01
—
NMW2144
VALUE OPTIONS OF NM
NM
Enumeration date
01/08/2007
Last updated
03/13/2017
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