Provider Demographics
NPI:1467709238
Name:CASTELLANOS, MAURA CATHERINE ANNE (MA)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:CATHERINE ANNE
Last Name:CASTELLANOS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MAURA
Other - Middle Name:CATHERINE ANNE
Other - Last Name:ARNOLDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1050 E RIVER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5744
Mailing Address - Country:US
Mailing Address - Phone:520-989-9799
Mailing Address - Fax:
Practice Address - Street 1:1050 E RIVER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5744
Practice Address - Country:US
Practice Address - Phone:520-989-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP7813235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist