Provider Demographics
NPI:1972710937
Name:CALISCH, ABBY CORINNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:CORINNE
Last Name:CALISCH
Suffix:
Gender:F
Credentials:PSYD
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 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5888
Mailing Address - Fax:757-446-5918
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-5888
Practice Address - Fax:757-446-5918
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0551101YP2500X
VA0701004413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherAETNA
VAPAROtherMULTIPLAN
VA60551489OtherMAGELLAN HEALTH SERVICES
VAPAROtherVIRGINIA HEALTH NETWORK
VA1972710937Medicaid
VA363634OtherANTHEM
VAPAROtherCIGNA BEHAVIORAL HEALTH
VIO804452MOtherOPTIMA BEHAVIORAL HEALTH
VAPAROtherCORVEL/CORECARE
VAPAROtherVIRGINIA PREMIER HEALTH
VA435695OtherMANAGED HEALTH NETWORK
VAPAROtherUSA MANAGED CARE