Healthcare Provider Details

I. General information

NPI: 1790603934
Provider Name (Legal Business Name): DARIANA ALEJANDRA CASTILLO JARAMILLO M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 US HIGHWAY 202/206 STE 300
BRIDGEWATER NJ
08807-1758
US

IV. Provider business mailing address

745 US HIGHWAY 202/206 STE 300
BRIDGEWATER NJ
08807-1758
US

V. Phone/Fax

Practice location:
  • Phone: 908-264-0096
  • Fax:
Mailing address:
  • Phone: 908-264-0096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS01333000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: