Provider Demographics
NPI:1396424693
Name:CALHOUN, SUSAN SHEA
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:SHEA
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30805 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3813
Mailing Address - Country:US
Mailing Address - Phone:302-542-7231
Mailing Address - Fax:
Practice Address - Street 1:556 S DUPONT BLVD STE 1
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1706
Practice Address - Country:US
Practice Address - Phone:302-503-5142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health