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NPI Code Detail

MEDICARE: STEPHANIE ANN CALLAN PHD

MEDICARE: STEPHANIE ANN CALLAN 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
1103TC0700XClinical PsychologistPS020656PA

General Provider Information

NPI Number : 1487518999
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ANN CALLAN PHD
Provider Business Mailing Address
First Line : 2820 S DARIEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-5056
Country : US
Telephone Number : 267-265-6551
Fax Number :
Provider Business Practice Location Address
First Line : 3900 WOODLAND AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4551
Country : US
Telephone Number : 215-823-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 02/13/2026

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