Castleberry, Adam

Castleberry, Adam is an individual health care provider with primary practice located at 1013 Egret Way , Lake Park GA 31636-2759. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Castleberry, Adam can be contacted via phone (292) 588-1985.

Contact Information

Primary practice address
1013 Egret Way Lake Park GA 31636-2759
Phone: (292) 588-1985
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003724 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8652 Florida

Profile Details

NPI number 1689950693
LBN Legal business name Castleberry, Adam
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2011
Last updated May 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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