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NPI Code Detail

MEDICARE: ELIZABETH ASHLEY CALLAHAN PHD

MEDICARE:   ELIZABETH ASHLEY CALLAHAN  PHD
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1760756084
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ASHLEY CALLAHAN PHD
Provider Business Mailing Address
First Line : 235 CLAIBORNE AVE
Second Line : SUITE 200
City : ROCKY MOUNT
State : VA
Zip : 24151-1438
Country : US
Telephone Number : 540-238-2080
Fax Number :
Provider Business Practice Location Address
First Line : 235 CLAIBORNE AVE
Second Line : SUITE 200
City : ROCKY MOUNT
State : VA
Zip : 24151-1438
Country : US
Telephone Number : 540-238-2080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2012
Last Update Date : 03/05/2012

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Directions to “ ELIZABETH ASHLEY CALLAHAN PHD” Practice Location

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