Provider Demographics
NPI:1205011764
Name:CALVERT, ANNE S (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:S
Last Name:CALVERT
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 1:2645 ARAPAHO RD STE 121
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-7942
Mailing Address - Country:US
Mailing Address - Phone:972-270-6731
Mailing Address - Fax:972-613-2852
Practice Address - Street 1:2645 ARAPAHO RD STE 121
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-7942
Practice Address - Country:US
Practice Address - Phone:972-270-6731
Practice Address - Fax:972-613-2852
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50441231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX022406501Medicaid
TXR70467Medicare UPIN
TX022406501Medicaid