Provider Demographics
NPI:1295359305
Name:CALLAGHAN, MOLLY JANE (MA)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:JANE
Last Name:CALLAGHAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4449 HONEYSUCKLE LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-8815
Mailing Address - Country:US
Mailing Address - Phone:570-977-6689
Mailing Address - Fax:
Practice Address - Street 1:4920 YORK ROAD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902
Practice Address - Country:US
Practice Address - Phone:267-221-6478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor