Individual
DR. JOHN F. CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
664 PROSPECT AVE, HARTFORD, CT 06105-4203
(860) 236-8087
(860) 586-7422
Mailing address
664 PROSPECT AVE, HARTFORD, CT 06105-4203
(860) 236-8087
(860) 586-7422
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001612
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001612CT04
ANTHEM BC/BS OF CT
CT
Enumeration date
07/26/2006
Last updated
07/08/2007
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