Provider Demographics
NPI:1922168137
Name:CALHOUN, MARGERY KATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGERY
Middle Name:KATHERINE
Last Name:CALHOUN
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:PO BOX 22
Mailing Address - Street 2:
Mailing Address - City:WEST RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:20778-0022
Mailing Address - Country:US
Mailing Address - Phone:301-261-5208
Mailing Address - Fax:410-266-5328
Practice Address - Street 1:600 RIDGELY AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:301-261-5208
Practice Address - Fax:410-266-5328
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00682103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GN86MKOtherBCBS MD
H0810001OtherBCBS DC
GN86MKOtherBCBS MD