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NPI Code Detail

MEDICARE: MRS. MARILYN JANE CALLAHAN

MEDICARE: MRS. MARILYN JANE CALLAHAN
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
1106H00000XMarriage & Family TherapistMFC31781CA

General Provider Information

NPI Number : 1700932100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARILYN JANE CALLAHAN
Provider Business Mailing Address
First Line : 933 SHORELINE DR
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-5968
Country : US
Telephone Number : 510-865-8435
Fax Number :
Provider Business Practice Location Address
First Line : 280 17TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-4124
Country : US
Telephone Number : 510-238-5020
Fax Number : 510-261-3584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MARILYN JANE CALLAHAN ” Practice Location

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