Provider Demographics
NPI:1114906807
Name:CASTILLE, TIA CATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:TIA
Middle Name:CATHERINE
Last Name:CASTILLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W PINHOOK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2460
Mailing Address - Country:US
Mailing Address - Phone:337-237-0650
Mailing Address - Fax:337-237-1086
Practice Address - Street 1:1000 W PINHOOK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2460
Practice Address - Country:US
Practice Address - Phone:337-237-0650
Practice Address - Fax:337-237-1086
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist