Healthcare Provider Details

I. General information

NPI: 1780657502
Provider Name (Legal Business Name): JANINE CASTLE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 11/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 HARRISBURG PIKE
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

PO BOX 3555 555 N. DUKE ST
LANCASTER PA
17604-3555
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3170
  • Fax:
Mailing address:
  • Phone: 717-544-2730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS015307
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: