Provider Demographics
NPI:1700171097
Name:CASTRO-WEHR, DYANN (SLP)
Entity type:Individual
Prefix:MRS
First Name:DYANN
Middle Name:
Last Name:CASTRO-WEHR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 WHISPERING PINES LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-7886
Mailing Address - Country:US
Mailing Address - Phone:530-272-1010
Mailing Address - Fax:530-272-1010
Practice Address - Street 1:900 WHISPERING PINES LN
Practice Address - Street 2:SUITE 200
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-7886
Practice Address - Country:US
Practice Address - Phone:530-272-1010
Practice Address - Fax:530-272-1010
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8204235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist