Provider Demographics
NPI:1376286237
Name:CALLAHAN, LAUREL JADE
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:JADE
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:JADE
Other - Last Name:STEINBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3708 13TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1411
Mailing Address - Country:US
Mailing Address - Phone:412-651-3828
Mailing Address - Fax:
Practice Address - Street 1:3708 13TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-1411
Practice Address - Country:US
Practice Address - Phone:412-651-3828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program