Callahan, Paul John
Callahan, Paul John is an sole proprietor health care provider with primary practice located at 2557 Massachusetts Ave , Cambridge MA 02140-1020. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Callahan, Paul John can be contacted via phone (781) 643-1020.Contact Information
Primary practice address
2557 Massachusetts Ave
Cambridge MA 02140-1020
Phone: (781) 643-1020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 6376 | Massachusetts |
Profile Details
| NPI number | 1114062239 |
|---|---|
| LBN Legal business name | Callahan, Paul John |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114062239 | NPPES |
| Massachusetts | Other | W05323 | BCBS ID # |
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