Provider Demographics
NPI:1831798040
Name:CASTRO, CRISTINA F (CCC-SLP)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:F
Last Name:CASTRO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-3352
Mailing Address - Country:US
Mailing Address - Phone:360-488-7752
Mailing Address - Fax:
Practice Address - Street 1:331 RAINTREE DR
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:FL
Practice Address - Zip Code:32702-9609
Practice Address - Country:US
Practice Address - Phone:360-488-7752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist