Provider Demographics
NPI:1518270107
Name:CALLAHAN, KRISTIN LEIGH (PHD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:LEIGH
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2443
Mailing Address - Country:US
Mailing Address - Phone:504-301-8669
Mailing Address - Fax:504-412-1536
Practice Address - Street 1:3450 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2443
Practice Address - Country:US
Practice Address - Phone:504-301-8669
Practice Address - Fax:504-412-1536
Is Sole Proprietor?:No
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist