Provider Demographics
NPI:1194406439
Name:CASTIGNANI, CECELIA HOLLIS (LEP)
Entity type:Individual
Prefix:
First Name:CECELIA
Middle Name:HOLLIS
Last Name:CASTIGNANI
Suffix:
Gender:F
Credentials:LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1538 FILBERT ST APT 10
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-3717
Mailing Address - Country:US
Mailing Address - Phone:408-310-7010
Mailing Address - Fax:
Practice Address - Street 1:1538 FILBERT ST APT 10
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-3717
Practice Address - Country:US
Practice Address - Phone:408-310-7010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALEP4276103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist