Provider Demographics
NPI:1043373970
Name:CALLAWAY BRENNAN, SYLVANNA GAVIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SYLVANNA
Middle Name:GAVIA
Last Name:CALLAWAY BRENNAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:GAVIA
Other - Middle Name:CALLAWAY
Other - Last Name:BRENNAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:4141 GEARY BLVD FL 4
Mailing Address - Street 2:411
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3118
Mailing Address - Country:US
Mailing Address - Phone:415-833-7112
Mailing Address - Fax:415-833-4765
Practice Address - Street 1:4141 GEARY BLVD FL 4
Practice Address - Street 2:411
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3118
Practice Address - Country:US
Practice Address - Phone:415-833-7112
Practice Address - Fax:415-833-4765
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20417103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent