Provider Demographics
NPI:1477623130
Name:CALTON, JOELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOELLE
Middle Name:
Last Name:CALTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 I ST
Mailing Address - Street 2:305
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4311
Mailing Address - Country:US
Mailing Address - Phone:916-706-1092
Mailing Address - Fax:415-386-1301
Practice Address - Street 1:2830 I ST
Practice Address - Street 2:#305
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4311
Practice Address - Country:US
Practice Address - Phone:916-706-1092
Practice Address - Fax:415-386-1301
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17486103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC437AMedicare PIN