Provider Demographics
NPI:1689880965
Name:CASTNER, BRUCE A (LMFTA)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:A
Last Name:CASTNER
Suffix:
Gender:M
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 BEACHWATER DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5718
Mailing Address - Country:US
Mailing Address - Phone:281-395-4433
Mailing Address - Fax:
Practice Address - Street 1:9801 WESTHEIMER RD
Practice Address - Street 2:SUITE 302
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3950
Practice Address - Country:US
Practice Address - Phone:832-443-2921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201116106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist