Provider Demographics
NPI:1467605535
Name:SANSONE, MARIA CASTRO (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CASTRO
Last Name:SANSONE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:CASTRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:900 CARILLON PARKWAY, SUITE 407
Mailing Address - Street 2:ALL CHILDREN'S SPECIALTY CARE OF CARILLON
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716
Mailing Address - Country:US
Mailing Address - Phone:727-571-1210
Mailing Address - Fax:727-573-1958
Practice Address - Street 1:900 CARILLON PARKWAY, SUITE 407
Practice Address - Street 2:ALL CHILDREN'S SPECIALTY CARE OF CARILLON
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716
Practice Address - Country:US
Practice Address - Phone:727-571-1210
Practice Address - Fax:727-573-1958
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009542-1235Z00000X
FLSA11098235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist