Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 84-03LPE-I | AR |
Y | 103T00000X | Psychologist | 84-03LPE-I | AR |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 84-03LPE-I | AR |
N | 103G00000X | Clinical Psychologist | 84-03LPE-I | AR |
N | 103TC0700X | Clinical Psychologist | 84-03LPE-I | AR |
N | 103TC1900X | Counseling Psychologist | 84-03LPE-I | AR |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 84-03LPE-I | AR |
N | 103TM1800X | Intellectual & Developmental Disabilities | 84-03LPE-I | AR |
N | 103TP2701X | Group Psychotherapist | 44-03LPE-I | AR |
NPI | 1013214113 |
---|---|
Provider Name | James Michael Casteel |
First Address | Huntsville, AR 72740-8475 |
Second Address | Huntsville, AR 72740-8475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2011 |
Last Update Date | 25/02/2011 |