Provider Demographics
NPI:1689799918
Name:DEL CASTILLO, TANYA SELENE (BA, MA, CCC, SP)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:SELENE
Last Name:DEL CASTILLO
Suffix:
Gender:F
Credentials:BA, MA, CCC, SP
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:SELENE
Other - Last Name:INZUNZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42835 JOLLE CT
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-7123
Mailing Address - Country:US
Mailing Address - Phone:619-920-4954
Mailing Address - Fax:951-302-2476
Practice Address - Street 1:42835 JOLLE CT
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-7123
Practice Address - Country:US
Practice Address - Phone:619-920-4954
Practice Address - Fax:951-302-2476
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15269235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist