Doctor Name: | SARA CALLAHAN |
NPI Number: | 1063843860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | C112013001282 |
Business Practice Address: | 85 Old Kings Hwy N Southfield Center Darien, CT - 068204732 |
Business Phone Number: | 2032027654 |
Business Fax Number: | |
Mailing Address: | 7 Outlook Dr, NORWALK |
State: | CT |
Postal Code: | 068542111 |
Phone Number: | 2037222103 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2013 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | C112013001282 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |