Provider Demographics
NPI:1891849717
Name:CASTLE, SANDRA BARNES (MED)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:BARNES
Last Name:CASTLE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 TOLL HOUSE AVE
Mailing Address - Street 2:UNIT D3
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4564
Mailing Address - Country:US
Mailing Address - Phone:301-846-0222
Mailing Address - Fax:301-846-7707
Practice Address - Street 1:801 TOLL HOUSE AVE
Practice Address - Street 2:UNIT D3
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4564
Practice Address - Country:US
Practice Address - Phone:301-846-0222
Practice Address - Fax:301-846-7707
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD47321OtherALLIANCE
DC210BOtherCAREFIRST
MD47321OtherUNITED
MDJ981OtherCAREFIRST
MD4264065OtherCIGNA
MD3654700OtherAETNA
MD47321OtherMAMSI
MD47321OtherOPTIMUM CHOICE