Paul Callaghan in Traverse City - Psychologist
Paul Callaghan - NPI 1124189642
Paul Callaghan is a Psychologist in Traverse City, Michigan. Paul Callaghan practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Paul Callaghan is 1124189642. The last update date is 2019-05-06.
Paul Callaghan's current location address is 3537 W Front St, Traverse City, Michigan. You can contact this provider via phone number 2319358900 and fax number 2319358901. The mailing address for Paul Callaghan is 3537 W Front St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Callaghan |
|---|---|
| Address | 3537 W Front St, Traverse City, Michigan |
| Phone Number | 2319358900 |
| Fax Number | 2319358901 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1124189642 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2019-05-06 |
Provider Mailing Address Detail
| Address | 3537 W Front St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496847943 |
| Phone Number | 2319358900 |
| Fax Number | 2319358901 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301007528 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680B84515 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
Could you provide the complete physical address where Paul Callaghan is located?
The Paul Callaghan is situated at the following address: 3537 W Front St, Traverse City, MI, 496847943.
Could you kindly provide the complete physical address where Paul Callaghan's facilities are geographically located?
The facilities of Paul Callaghan are physically situated at the following location: 3537 W Front St, Traverse City, MI, 496847943.
On what date did Paul Callaghan receive its 1124189642 assignment from the Centers for Medicare & Medicaid Services?
The Paul Callaghan was assigned its 1124189642 on 2006-12-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1124189642 to Paul Callaghan?
The Centers for Medicare & Medicaid Services assigned the 1124189642 to Paul Callaghan on 2006-12-12.
When was the information related to Paul Callaghan most recently updated or refreshed?
The details pertaining to the Paul Callaghan, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-05-06.