Mara Calderon is a Clinical in Charleston, South Carolina. Mara Calderon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mara Calderon is 1174738280. The last update date is 2010-02-16.
Mara Calderon's current location address is 1662 Ingram Rd, Charleston, South Carolina. You can contact this provider via phone number 8434029115 and fax number 8434025407. The mailing address for Mara Calderon is 1662 Ingram Rd, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mara Calderon |
|---|---|
| Address | 1662 Ingram Rd, Charleston, South Carolina |
| Phone Number | 8434029115 |
| Fax Number | 8434025407 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1174738280 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2010-02-16 |
Provider Mailing Address Detail
| Address | 1662 Ingram Rd |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 29407 |
| Phone Number | 8434029115 |
| Fax Number | 8434025407 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 450 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Mara Calderon?
The Mara Calderon has been issued the NPI (National Provider Identifier) 1174738280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mara Calderon?
The Mara Calderon is situated at 1662 Ingram Rd, in the city of Charleston, state of SC, with the zip code 29407.
What is Mara Calderon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mara Calderon is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174738280 to Mara Calderon?
The Centers for Medicare & Medicaid Services assigned the 1174738280 to Mara Calderon on 2007-05-11.
As of what date were the details related to Mara Calderon most recently updated or revised?
The information pertaining to Mara Calderon, including its address, specialty, and other relevant details, was last updated or revised on 2010-02-16.
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