Provider Demographics
NPI:1174225957
Name:DE CASTRO, FRANCIS PAOLO (MS, LEP)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:PAOLO
Last Name:DE CASTRO
Suffix:
Gender:M
Credentials:MS, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2791 WOODWIND RD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1169
Mailing Address - Country:US
Mailing Address - Phone:909-702-9771
Mailing Address - Fax:
Practice Address - Street 1:2791 WOODWIND RD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1169
Practice Address - Country:US
Practice Address - Phone:909-702-9771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3782103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool