Individual
DR. EILEEN ANNE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
138 B AVE, CORONADO, CA 92118-1511
(619) 437-6209
Mailing address
138 B AVE, CORONADO, CA 92118-1511
(619) 437-6209
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 16521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY165210
—
CA
Enumeration date
10/26/2005
Last updated
07/09/2007
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