Provider Demographics
NPI:1396090890
Name:CALHOUN, NORA LEE (CPHT)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:LEE
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:PA
Mailing Address - Zip Code:15537-1258
Mailing Address - Country:US
Mailing Address - Phone:814-652-5532
Mailing Address - Fax:
Practice Address - Street 1:108 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:PA
Practice Address - Zip Code:15537-1258
Practice Address - Country:US
Practice Address - Phone:814-652-5532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA360101060766232247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other