Provider Demographics
NPI:1194085266
Name:CASTILLO, MAUREEN C (MA, SLP-CCC)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:C
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:MA, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4006 ZUNI ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2147
Mailing Address - Country:US
Mailing Address - Phone:720-331-2354
Mailing Address - Fax:
Practice Address - Street 1:4006 ZUNI ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2147
Practice Address - Country:US
Practice Address - Phone:720-331-2354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist