Healthcare Provider Details

I. General information

NPI: 1316025752
Provider Name (Legal Business Name): ELIZABETH CALLAWAY M.S., CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 FULLER RD
ANN ARBOR MI
48105-2335
US

IV. Provider business mailing address

1000 SCOTT PL
ANN ARBOR MI
48105-2585
US

V. Phone/Fax

Practice location:
  • Phone: 734-769-7100
  • Fax: 734-761-7304
Mailing address:
  • Phone: 734-769-7100
  • Fax: 734-761-7304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: