Provider Demographics
NPI:1962639005
Name:CALDERONE, BEVERLEY ELIZABETH (MA)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLEY
Middle Name:ELIZABETH
Last Name:CALDERONE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500B JEFFERSON BLVD.
Mailing Address - Street 2:SUITE 150
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95605
Mailing Address - Country:US
Mailing Address - Phone:916-375-6350
Mailing Address - Fax:
Practice Address - Street 1:500-B JEFFERSON BOULEVARD
Practice Address - Street 2:SUITE 150
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605
Practice Address - Country:US
Practice Address - Phone:916-375-6350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist