Individual
TAMMY J. CALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
140 S GILBERT RD, GILBERT, AZ 85296-1016
(480) 497-9790
Mailing address
140 S GILBERT RD, GILBERT, AZ 85296-1016
(480) 497-9790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3144305
AZ
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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