Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | FL | |
N | 103TC0700X | Clinical Psychologist | FL | |
Y | 103G00000X | Clinical Psychologist | PY7799 | FL |
Y | 103TC0700X | Clinical Psychologist | PY7799 | FL |
N | 103TH0004X | Health Psychologist | FL | |
N | 103TR0400X | Rehabilitation Psychologist |
NPI | 1598913832 |
---|---|
Provider Name | Dr. Linnette Castillo |
First Address | Miami, FL 33143-5920 |
Second Address | Miami, FL 33143-5165 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2008 |
Last Update Date | 10/11/2009 |