Provider Demographics
NPI:1760103436
Name:DIGGS, CALVARY (PHD, LP, HSP-P)
Entity Type:Individual
Prefix:DR
First Name:CALVARY
Middle Name:
Last Name:DIGGS
Suffix:
Gender:M
Credentials:PHD, LP, HSP-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 PARKRIDGE RD APT A5
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9327
Mailing Address - Country:US
Mailing Address - Phone:984-389-6258
Mailing Address - Fax:
Practice Address - Street 1:903 PARKRIDGE RD APT A5
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9327
Practice Address - Country:US
Practice Address - Phone:984-389-6258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6135103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist