Provider Demographics
NPI:1134380306
Name:CALLOWAY, AARON DUANE (MA)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:DUANE
Last Name:CALLOWAY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 W ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65810-1300
Mailing Address - Country:US
Mailing Address - Phone:417-576-8410
Mailing Address - Fax:
Practice Address - Street 1:2515 W ALLEN DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65810-1300
Practice Address - Country:US
Practice Address - Phone:417-576-8410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional