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NPI Code Detail

MEDICARE: NANCY J CASTLE MA, PCC

MEDICARE: NANCY J CASTLE MA, PCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE 1700117OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255531414
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY J CASTLE MA, PCC
Provider Business Mailing Address
First Line : 2401 WHIPPLE AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-1513
Country : US
Telephone Number : 330-956-5681
Fax Number : 330-956-5682
Provider Business Practice Location Address
First Line : 2401 WHIPPLE AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44708-1513
Country : US
Telephone Number : 330-956-5681
Fax Number : 330-956-5682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2007
Last Update Date : 01/10/2025

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