Castillo, Ivette Laura

Castillo, Ivette Laura is an individual health care provider with primary practice located at 12920 Dairy Ashford Rd Ste. 105, Sugar Land TX 77478-3177. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Castillo, Ivette Laura can be contacted via phone (713) 592-8952.

Contact Information

Primary practice address
12920 Dairy Ashford Rd Ste. 105 Sugar Land TX 77478-3177
Phone: (713) 592-8952
Fax: (713) 592-9266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 32615 Texas

Profile Details

NPI number 1134428766
LBN Legal business name Castillo, Ivette Laura
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2011
Last updated Jun 28th, 2013 - about 12 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 1134428766 NPPES
Texas MEDICAID 288984201

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