MS. SANDRA CANDY CASTLE LLP NPI 1174848899

NPI Information

NPI: 1174848899
Provider Name: MS. SANDRA CANDY CASTLE, LLP
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Organization: COUNTY OF OTTAWA

PECOS Registration: Yes

Address:
12265 JAMES ST
HOLLAND, MI
ZIP 49424
Phone: (616) 494-5475
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MS. Sandra Candy Castle, LLP is an intellectual and developmental disabilities in Holland, MI with 42 years of experience. MS. Sandra Candy Castle, LLP NPI is 1174848899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12265 JAMES ST
HOLLAND, MI
ZIP 49424-613
Phone: (616) 494-5475
Fax: (616) 393-5687

The NPI 1174848899 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/6/2010 and was last updated on 4/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	6301006991	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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