Provider Demographics
NPI:1134983430
Name:FINKLEA CALLAHAN, STAR N
Entity type:Individual
Prefix:MS
First Name:STAR
Middle Name:N
Last Name:FINKLEA CALLAHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 WEDGEWOOD PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-1938
Mailing Address - Country:US
Mailing Address - Phone:561-503-6928
Mailing Address - Fax:
Practice Address - Street 1:2801 N FLAGLER DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-5215
Practice Address - Country:US
Practice Address - Phone:561-488-9034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical