Individual
ERICA LYNNE CALLAHAN
Active
Individual
ERICA LYNNE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3374
CT
363AM0700X
Medical Physician Assistant
Primary
003374
CT
363AS0400X
Surgical Physician Assistant
003374
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003374
CT STATE LICENSE
CT
Enumeration date
07/23/2015
Last updated
02/11/2026
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