Provider Demographics
NPI:1164862702
Name:CALABRESE, DENA CHRISTINE ANTOINETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DENA
Middle Name:CHRISTINE ANTOINETTE
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 S K ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-3214
Mailing Address - Country:US
Mailing Address - Phone:253-353-7337
Mailing Address - Fax:253-201-9868
Practice Address - Street 1:6555 S K ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-3214
Practice Address - Country:US
Practice Address - Phone:253-353-7337
Practice Address - Fax:253-201-9868
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60304137103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical