Provider Demographics
NPI:1093737272
Name:CALVO, WALTER EDWARD (DCSW)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:EDWARD
Last Name:CALVO
Suffix:
Gender:M
Credentials:DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:520 BECKRICH RD UNIT 3208
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-3648
Mailing Address - Country:US
Mailing Address - Phone:850-236-7763
Mailing Address - Fax:850-283-7721
Practice Address - Street 1:BLDG 1305 SUWANNEE AVE
Practice Address - Street 2:
Practice Address - City:TYNDALL AFB
Practice Address - State:FL
Practice Address - Zip Code:32403
Practice Address - Country:US
Practice Address - Phone:850-238-7511
Practice Address - Fax:850-283-7721
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
TXS154591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical