Provider Demographics
NPI:1619129236
Name:CASTLE, KATHRYN S (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:S
Last Name:CASTLE
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 PRINCE STREET
Mailing Address - Street 2:SUITE LL004
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607
Mailing Address - Country:US
Mailing Address - Phone:585-746-0607
Mailing Address - Fax:585-461-3439
Practice Address - Street 1:46 PRINCE STREET
Practice Address - Street 2:SUITE LL004
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607
Practice Address - Country:US
Practice Address - Phone:585-746-0607
Practice Address - Fax:585-461-3439
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP67500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health