Provider Demographics
NPI:1649910076
Name:CASTELLI, SHARON (ED)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CASTELLI
Suffix:
Gender:F
Credentials:ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5154 US HIGHWAY 220 BUS S
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-0844
Mailing Address - Country:US
Mailing Address - Phone:910-986-2332
Mailing Address - Fax:
Practice Address - Street 1:5154 US HIGHWAY 220 BUS S
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-0844
Practice Address - Country:US
Practice Address - Phone:910-986-2332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist