Casillo, Amanda

Casillo, Amanda is an individual health care provider with primary practice located at 2222 E Highland Ave Ste 204 , Phoenix AZ 85016-4876. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Casillo, Amanda can be contacted via phone (602) 264-4834.

Contact Information

Primary practice address
2222 E Highland Ave Ste 204 Phoenix AZ 85016-4876
Phone: (602) 264-4834
Fax: (602) 254-5178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 80781 Texas
Speech, Language and Hearing Service Providers / Audiologist 231H00000X DA10971 Arizona

Profile Details

NPI number 1760917066
LBN Legal business name Casillo, Amanda
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2017
Last updated Oct 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760917066 NPPES
Arizona Other DA10971 LICENSE

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