Individual
DR. JORDAN ALLEN CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
853 STATE ROAD 436 STE 2045, CASSELBERRY, FL 32707-5480
(407) 598-0202
Mailing address
116 TUSCANY BEND ST, DAYTONA BEACH, FL 32117-5545
(386) 479-7714
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10485
FL
Other
Enumeration date
11/21/2011
Last updated
04/13/2021
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