| Doctor Name: | JOHN CALICCHIA |
| NPI Number: | 1952713968 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 6264 |
| Business Practice Address: | 95 Riverside Dr Wrentham, MA - 020931462 |
| Business Phone Number: | 5089349735 |
| Business Fax Number: | |
| Mailing Address: | 95 Riverside Dr, WRENTHAM |
| State: | MA |
| Postal Code: | 020931462 |
| Phone Number: | 5089349735 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2014 |
| NPI Last Update Date: | 05/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6264 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |