| Doctor Name: | DR. BETSY NICHOLSON CALLAHAN |
| NPI Number: | 1609986496 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DSW LCSW |
| License Number: | 1314123501 |
| Business Practice Address: | Lifeskills Support Ctr Hill Air Force Base Hill Afb, UT - 84056 |
| Business Phone Number: | 8017777909 |
| Business Fax Number: | 8017774490 |
| Mailing Address: | 1782 E Holladay Blvd, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841242606 |
| Phone Number: | 8012723584 |
| Fax Number: | 8012723584 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1314123501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |