| Daniel Callahan, Phd, Pllc | |
|
13500 Sutton Park Dr S Ste 702 Jacksonville FL 32224-5290 | |
| (904) 240-2157 | |
| (904) 732-7007 |
| Full Name | Daniel Callahan, Phd, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13500 Sutton Park Dr S Ste 702, Jacksonville, Florida |
| Authorized Official Name and Position | Daniel W Callahan (PRINCIPAL) |
| Authorized Official Contact | 9042402157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Callahan, Phd, Pllc 13500 Sutton Park Dr S Ste 702 Jacksonville FL 32224-5290 Ph: (904) 240-2157 | Daniel Callahan, Phd, Pllc 13500 Sutton Park Dr S Ste 702 Jacksonville FL 32224-5290 Ph: (904) 240-2157 |
| NPI Number | 1205448388 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205448388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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