| P. Douglas Callan & Assoc Ltd | |
|
1361 N Long Lake Rd Fenton MI 48430-8867 | |
| (810) 629-6549 | |
| (810) 629-0614 |
| Full Name | P. Douglas Callan & Assoc Ltd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1361 N Long Lake Rd, Fenton, Michigan |
| Authorized Official Name and Position | Paul Douglas Callan (PSYCHOLOGIST) |
| Authorized Official Contact | 8106296549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P. Douglas Callan & Assoc Ltd 1361 N Long Lake Rd Fenton MI 48430-8867 Ph: (810) 629-6549 | P. Douglas Callan & Assoc Ltd 1361 N Long Lake Rd Fenton MI 48430-8867 Ph: (810) 629-6549 |
| NPI Number | 1124233549 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124233549 | NPI | - | NPPES |
| 2050633 | Other | MI | CIGNA |
| 117163 | Other | MI | VALUE OPTIONS |
| 680B54550-0 | Other | MI | BLUE CROSS |
| 38741455 | Other | MI | TRICARE |
| IP285944 | Other | MI | MAGELLAN |
| P99889 | Other | MI | BLUE CARE NETWORK |
| 8915160 | Other | MI | CIGNA |
| M036569 | Other | MI | CHAMPUS |
| 248189 | Other | MI | MHN |
| 266552 | Other | MI | HORIZON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301002282 (Michigan) | Primary |
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