Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 19-220 | MS |
Y | 103TC0700X | Clinical Psychologist | 19-220 | MS |
NPI | 1013069285 |
---|---|
Provider Name | Joanne Prindel Calhoun |
First Address | Biloxi, MS 39531-2838 |
Second Address | Ocean Springs, MS 39564-3737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00110022 | (05) | MS |
30136 | NATIONAL REGISTER (01) | MS |