Provider Demographics
NPI:1902827439
Name:CALHOUN, JAMES F (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 MILLEDGE CIR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-4336
Mailing Address - Country:US
Mailing Address - Phone:706-549-9196
Mailing Address - Fax:
Practice Address - Street 1:440 MILLEDGE CIR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-4336
Practice Address - Country:US
Practice Address - Phone:706-549-9196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA565103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA68BBDCZMedicare ID - Type Unspecified