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Individual

DR. RICHARD E CALHOUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
36 N PENNELL RD, MEDIA, PA 19063-5520
(610) 892-9227
Mailing address
36 N PENNELL RD, MEDIA, PA 19063-5520
(610) 892-9227

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
B10000483
DE
103TC0700X
Clinical Psychologist
Primary
PS003653L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0033345000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
10/18/2005
Last updated
07/08/2007
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