Organization
ADHD DIAGNOSTICS
Active
Organization
ADHD DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE R CALLAHAN LCSW-C (OWNER)
(410) 404-8661
Entity
Organization
Contact information
Practice address
360 MAIN ST, REISTERSTOWN, MD 21136-1919
(443) 650-3299
Mailing address
360 MAIN ST, REISTERSTOWN, MD 21136-1919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104020874
—
MD
05
—
1790053197
—
MD
Enumeration date
05/18/2022
Last updated
05/18/2022
Update your record
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