Provider Demographics
NPI:1194454488
Name:CASTERLOW, RONNIE DEAN (SLP)
Entity Type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:DEAN
Last Name:CASTERLOW
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 BAYSWATER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-7294
Mailing Address - Country:US
Mailing Address - Phone:336-880-5655
Mailing Address - Fax:
Practice Address - Street 1:14 W MAIN ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-3964
Practice Address - Country:US
Practice Address - Phone:336-880-5655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-10
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10505235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty