Callaghan, Paul

Callaghan, Paul is an sole proprietor health care provider with primary practice located at 3537 W Front St Ste F, Traverse City MI 49684-7943. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Callaghan, Paul can be contacted via phone (231) 935-8900.

Contact Information

Primary practice address
3537 W Front St Ste F Traverse City MI 49684-7943
Phone: (231) 935-8900
Fax: (231) 935-8901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301007528 Michigan
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301007528 Michigan

Profile Details

NPI number 1124189642
LBN Legal business name Callaghan, Paul
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated May 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124189642 NPPES
Michigan Other 680B84515 BLUE CROSS BLUE SHIELD

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