Provider Demographics
NPI:1902944457
Name:KALMAR, PETER J (MFT)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:J
Last Name:KALMAR
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1341
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-1341
Mailing Address - Country:US
Mailing Address - Phone:916-730-6546
Mailing Address - Fax:916-771-0998
Practice Address - Street 1:901 SUNRISE AVE STE A15
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661
Practice Address - Country:US
Practice Address - Phone:916-730-6546
Practice Address - Fax:916-771-0998
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32268106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist