Provider Demographics
NPI:1720896376
Name:OCALLAGHAN, CAITLIN MICHELLE
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MICHELLE
Last Name:OCALLAGHAN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:HARRY
Other - Middle Name:
Other - Last Name:OCALLAGHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2284 N NUGENT RD
Mailing Address - Street 2:
Mailing Address - City:LUMMI ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98262-8661
Mailing Address - Country:US
Mailing Address - Phone:360-441-4014
Mailing Address - Fax:
Practice Address - Street 1:4151 MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-5559
Practice Address - Country:US
Practice Address - Phone:360-676-2220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health