Provider Demographics
NPI:1902065907
Name:CASTANEDA, MARIA DEL PILAR (MS)
Entity Type:Individual
Prefix:MRS
First Name:MARIA DEL
Middle Name:PILAR
Last Name:CASTANEDA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 W SENECA ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-4033
Mailing Address - Country:US
Mailing Address - Phone:607-273-1129
Mailing Address - Fax:
Practice Address - Street 1:521 W SENECA ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4033
Practice Address - Country:US
Practice Address - Phone:607-273-1129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000505106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist