Individual
AMANDA JOY CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(203) 688-4242
Mailing address
20 YORK STREET, YNHH TOMPKINS 226, NEW HAVEN, CT 06510
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
68828
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68828
CT LICENSE
CT
Enumeration date
05/06/2019
Last updated
08/19/2021
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