| Charlotte Callens, Llc | |
|
104 Forbes St Suite 205 Annapolis MD 21401-1516 | |
| (301) 812-1715 | |
| Not Available |
| Full Name | Charlotte Callens, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 104 Forbes St, Annapolis, Maryland |
| Authorized Official Name and Position | Charlotte Callens (OWNER) |
| Authorized Official Contact | 3018121715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Callens, Llc 104 Forbes St Suite 205 Annapolis MD 21401-1516 Ph: (301) 812-1715 | Charlotte Callens, Llc 104 Forbes St Suite 205 Annapolis MD 21401-1516 Ph: (301) 812-1715 |
| NPI Number | 1689807380 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Medicare PECOS PAC ID | 7911043765 |
|---|---|
| Medicare Enrollment ID | O20100204000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689807380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Maryland) | Primary |
| Provider Name | Charlotte Callens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437310745 PECOS PAC ID: 3476699216 Enrollment ID: I20100204000510 |
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