Provider Demographics
NPI:1548388283
Name:CALDERWOOD, SHEILA C (MFC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:C
Last Name:CALDERWOOD
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E ROBERTS LN
Mailing Address - Street 2:# 71
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-4854
Mailing Address - Country:US
Mailing Address - Phone:661-303-2451
Mailing Address - Fax:661-393-0349
Practice Address - Street 1:1412 17TH ST
Practice Address - Street 2:SUITE 219
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5211
Practice Address - Country:US
Practice Address - Phone:661-303-2451
Practice Address - Fax:661-393-0349
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC19944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health