Provider Demographics
NPI:1710111059
Name:CASTELLI, DONNA HAYWARD (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:HAYWARD
Last Name:CASTELLI
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:HAYWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:1060 ESTES ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-7411
Mailing Address - Country:US
Mailing Address - Phone:619-440-5133
Mailing Address - Fax:619-440-8522
Practice Address - Street 1:1060 ESTES ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-7411
Practice Address - Country:US
Practice Address - Phone:619-440-5133
Practice Address - Fax:619-440-8522
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51209106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist