Individual
IMMANUEL LEWIS CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3271 W 115TH ST, CLEVELAND, OH 44111-2743
(216) 532-9955
Mailing address
3271 W 115TH ST, CLEVELAND, OH 44111-2743
(216) 532-9955
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
UQ962169
OH
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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