Provider Demographics
NPI:1639448988
Name:CASTIGLIA, RAYMOND JASON
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:JASON
Last Name:CASTIGLIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 41ST ST N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-5839
Mailing Address - Country:US
Mailing Address - Phone:727-550-5130
Mailing Address - Fax:
Practice Address - Street 1:6620 41ST ST N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5839
Practice Address - Country:US
Practice Address - Phone:727-550-5130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor