Provider Demographics
NPI:1639461403
Name:DE CASTRO, BARBARA ANNE
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:DE CASTRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9324 DANCING DAFFODIL AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6985
Mailing Address - Country:US
Mailing Address - Phone:702-738-2924
Mailing Address - Fax:702-977-6363
Practice Address - Street 1:9324 DANCING DAFFODIL AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-6985
Practice Address - Country:US
Practice Address - Phone:702-738-2924
Practice Address - Fax:702-977-6363
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker