Provider Demographics
NPI:1588811251
Name:CASTILLE, JOY B (MS,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:B
Last Name:CASTILLE
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 SOUTHLAKE CIR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5691
Mailing Address - Country:US
Mailing Address - Phone:337-856-1150
Mailing Address - Fax:
Practice Address - Street 1:303 SOUTHLAKE CIR
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-5691
Practice Address - Country:US
Practice Address - Phone:337-856-1150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5460235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist