Provider Demographics
NPI:1619517364
Name:ALCALA-CALDERON, ANA TERESA (PH D)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:TERESA
Last Name:ALCALA-CALDERON
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:T
Other - Last Name:ALCALA ARNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:3206 HOFFMAN HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-8740
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5915 ORCHARD ST W
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98467-3824
Practice Address - Country:US
Practice Address - Phone:253-414-7461
Practice Address - Fax:253-627-8387
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health