Cloonan, Callan

Cloonan, Callan is an individual health care provider with primary practice located at 2225 Old Emmorton Rd Ste 210 , Bel Air MD 21015-6123. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cloonan, Callan can be contacted via phone (410) 515-4900.

Contact Information

Primary practice address
2225 Old Emmorton Rd Ste 210 Bel Air MD 21015-6123
Phone: (410) 515-4900
Fax: (410) 515-0777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 02372L Maryland

Profile Details

NPI number 1609544949
LBN Legal business name Cloonan, Callan
Credentials SLP/CF
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609544949 NPPES
Maryland MEDICAID 419800000

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