MEDICARE: DR. CATHERINE M. CALLENDER PH.D.

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
1	103TC1900X	Counseling Psychologist	PY7444	FL

General Provider Information

NPI Number	:	1801946645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE M. CALLENDER PH.D.

Provider Business Mailing Address
First Line	:	1370 S. PATRICK DRIVE
Second Line	:	45 MDG-SGOH
City	:	PATRICK AFB
State	:	FL
Zip	:	32925
Country	:	US
Telephone Number	:	321-494-8234
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 MAGNOLIA CIR # 5612
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32403-5604
Country	:	US
Telephone Number	:	850-283-2778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	03/04/2026

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