Individual
MARY ANN S CALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3959 ELECTRIC RD STE 465, ROANOKE, VA 24018-4559
(540) 632-0847
Mailing address
5490 THE PEAKS DR, ROANOKE, VA 24018-1104
(610) 547-0347
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
511
WY
103TC0700X
Clinical Psychologist
0810007635
VA
Other
Enumeration date
03/02/2012
Last updated
02/15/2023
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