Provider Demographics
NPI:1023345642
Name:CASTANZA, JODIE (CD (DONA), MA)
Entity type:Individual
Prefix:
First Name:JODIE
Middle Name:
Last Name:CASTANZA
Suffix:
Gender:F
Credentials:CD (DONA), MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SOUTH ST. APT A9
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:217-621-5581
Mailing Address - Fax:
Practice Address - Street 1:108 SOUTH ST APT A9
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4060
Practice Address - Country:US
Practice Address - Phone:217-621-5581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula