Provider Demographics
NPI:1760756084
Name:CALLAHAN, ELIZABETH ASHLEY (PHD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ASHLEY
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 1:235 CLAIBORNE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-1438
Mailing Address - Country:US
Mailing Address - Phone:540-238-2080
Mailing Address - Fax:
Practice Address - Street 1:235 CLAIBORNE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1438
Practice Address - Country:US
Practice Address - Phone:540-238-2080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health