Provider Demographics
NPI:1194234013
Name:STARCHER, CALVIN DALE (PHD)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:DALE
Last Name:STARCHER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 STRAUBE CENTER BLVD
Mailing Address - Street 2:SUITE I-8A BOX 6
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534
Mailing Address - Country:US
Mailing Address - Phone:609-668-5630
Mailing Address - Fax:
Practice Address - Street 1:108 STRAUBE CENTER BLVD STE I-8AB6
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1448
Practice Address - Country:US
Practice Address - Phone:609-668-5639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC000393000101YM0800X
NJ37PC00039300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health