Provider Demographics
NPI:1366684508
Name:CALOF, DAVID L
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:CALOF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10564 5TH AVE NE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7200
Mailing Address - Country:US
Mailing Address - Phone:206-306-9026
Mailing Address - Fax:206-306-9631
Practice Address - Street 1:10564 5TH AVE NE
Practice Address - Street 2:SUITE 405
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7200
Practice Address - Country:US
Practice Address - Phone:206-306-9026
Practice Address - Fax:206-306-9631
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2021-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health