Individual
DR. PAUL CALLAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3537 W FRONT ST, STE F, TRAVERSE CITY, MI 49684-7943
(231) 935-8900
(231) 935-8901
Mailing address
3537 W FRONT ST, STE F, TRAVERSE CITY, MI 49684-7943
(231) 935-8900
(231) 935-8901
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301007528
MI
103T00000X
Psychologist
6301007528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680B84515
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/12/2006
Last updated
05/06/2019
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