Provider Demographics
NPI:1063524783
Name:CASTANO, M. TERESA (PSYD)
Entity type:Individual
Prefix:MRS
First Name:M. TERESA
Middle Name:
Last Name:CASTANO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4415 W PIEDRAS DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1216
Mailing Address - Country:US
Mailing Address - Phone:210-733-9929
Mailing Address - Fax:210-733-9916
Practice Address - Street 1:4415 W PIEDRAS DR
Practice Address - Street 2:SUITE 208
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1216
Practice Address - Country:US
Practice Address - Phone:210-733-9929
Practice Address - Fax:210-733-9916
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral