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General NPI Number Information
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NPI Number | 1568509560
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Entity Type | Individual
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Provider Name | CALLIOPE CALLIAS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 3412 36TH STREET SUITE 3/201
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City | LONG ISLAND CITY
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State | NY
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Zip | 11106-1200
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Country | US
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Telephone | 917-887-2698
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Fax |
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Provider Business Mailing Address
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Address Line | 3412 36TH STREET SUITE 3/201
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City | LONG ISLAND CITY
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State | NY
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Zip | 11106-1200
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Country | US
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Telephone | 917-887-2698
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 015125
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License Number State | NY
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