Castro, Rafael

Castro, Rafael is an individual health care provider with primary practice located at 193 Oak St Suite 1, Newton MA 02464-1457. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Castro, Rafael can be contacted via phone (617) 641-0900.

Contact Information

Primary practice address
193 Oak St Suite 1 Newton MA 02464-1457
Fax: (617) 641-0930
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 7235 Massachusetts

Profile Details

NPI number 1659428654
LBN Legal business name Castro, Rafael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 17 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 1659428654 NPPES
Massachusetts Other W05857 BLUE CROSS PROVIDER NUMBE

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