Provider Demographics
NPI:1912125998
Name:SCHWERIN, CALISTA ANN (MA, PSYD, MFT)
Entity Type:Individual
Prefix:DR
First Name:CALISTA
Middle Name:ANN
Last Name:SCHWERIN
Suffix:
Gender:F
Credentials:MA, PSYD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3316
Mailing Address - Country:US
Mailing Address - Phone:530-668-1305
Mailing Address - Fax:530-668-1590
Practice Address - Street 1:163 2ND ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3316
Practice Address - Country:US
Practice Address - Phone:530-668-1305
Practice Address - Fax:530-668-1590
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31935106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist