Provider Demographics
NPI:1487865259
Name:CALFEE, BRENDA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:M
Last Name:CALFEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BRENDA
Other - Middle Name:L
Other - Last Name:CALFEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:4400 EAST-WEST HIGHWAY
Mailing Address - Street 2:SUITE 24
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-652-7634
Mailing Address - Fax:
Practice Address - Street 1:4400 EAST-WEST HIGHWAY
Practice Address - Street 2:SUITE 24
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-652-7634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1978103TC0700X
VA0810001367103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD332671OtherMAMSI PROVIDER NUMBER