Provider Demographics
NPI:1659728392
Name:CASTRO, AYMEE
Entity Type:Individual
Prefix:
First Name:AYMEE
Middle Name:
Last Name: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 1:1305 W 46TH ST APT 210
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3231
Mailing Address - Country:US
Mailing Address - Phone:786-282-7981
Mailing Address - Fax:
Practice Address - Street 1:1305 W 46TH ST APT 210
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3231
Practice Address - Country:US
Practice Address - Phone:786-282-7981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI54552355S0801X
247200000X
FLSZ11382235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other