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NPI Code Detail

MEDICARE: PETER J. CALLAHAN, PLLC

MEDICARE: PETER J. CALLAHAN, PLLC
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
11041C0700XClinical Social WorkerDP00941942WV

General Provider Information

NPI Number : 1669644852
Entity Type Code : Organization
Provider Name (Legal Business Name) : PETER J. CALLAHAN, PLLC
Provider Business Mailing Address
First Line : PO BOX 1074
Second Line :
City : MARTINSBURG
State : WV
Zip : 25402-1074
Country : US
Telephone Number : 304-886-4118
Fax Number : 304-579-8606
Provider Business Practice Location Address
First Line : 1020 WINCHESTER AVE
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-1650
Country : US
Telephone Number : 304-886-4118
Fax Number : 304-579-8606
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : PETER J. CALLAHAN
Credential : LICSW, CAC-S, CCFC
Telephone Number : 304-886-4118
Provider Enumeration Date : 03/27/2008
Last Update Date : 03/03/2015

Similar Medicare Providers

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1932779683 — SUSAN CALLAHAN MSW, LICSW
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1760127559 — LAUREL HARDING MSW, LGSW, AADC, MAC
Practice Location Address:
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Practice Fax:
1972343721 — ANNA WHITTINGTON
Practice Location Address:
1020 WINCHESTER AVE
MARTINSBURG, WV
25401-1650
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1215752951 — CALLAHAN COUNSELING
Practice Location Address:
1020 WINCHESTER AVE
MARTINSBURG, WV
25401-1650
Practice Phone: 304-886-4118
Practice Fax: 304-579-8606

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