| Callahan, Pllc | |
|
1020 Winchester Ave Martinsburg WV 25401-1650 | |
| (304) 886-4118 | |
| (304) 579-8606 |
| Full Name | Callahan, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1020 Winchester Ave, Martinsburg, West Virginia |
| Authorized Official Name and Position | Peter J. Callahan (PSYCHOTHERAPIST) |
| Authorized Official Contact | 3048864118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Callahan, Pllc Po Box 1074 Martinsburg WV 25402-1074 Ph: (304) 886-4118 | Callahan, Pllc 1020 Winchester Ave Martinsburg WV 25401-1650 Ph: (304) 886-4118 |
| NPI Number | 1669644852 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/03/2015 |
| Medicare PECOS PAC ID | 8224467014 |
|---|---|
| Medicare Enrollment ID | O20200330002608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669644852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00941942 (West Virginia) | Primary |
| Provider Name | Peter J Callahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205834389 PECOS PAC ID: 5395174189 Enrollment ID: I20200330002868 |
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