Individual
ALYSSA CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RDN
Contact information
Practice address
509 MARIN ST STE 228, THOUSAND OAKS, CA 91360-4231
(805) 267-9338
Mailing address
509 MARIN ST STE 228, THOUSAND OAKS, CA 91360-4231
(805) 267-9338
(805) 930-0101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86064070
—
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86064070
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
08/03/2017
Last updated
02/28/2022
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