Healthcare Provider Details

I. General information

NPI: 1235614827
Provider Name (Legal Business Name): ALISON FAITH CALEWARTS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2018
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 VEGA ST
SAN FRANCISCO CA
94115-3826
US

IV. Provider business mailing address

101 MC LELLAN DR APT 2057
SOUTH SAN FRANCISCO CA
94080-7525
US

V. Phone/Fax

Practice location:
  • Phone: 415-749-3469
  • Fax:
Mailing address:
  • Phone: 858-444-6913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: