Provider Demographics
NPI:1730431578
Name:CALLEJA BYRNE, ANA C (PHD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:C
Last Name:CALLEJA BYRNE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 MONTE SANO BLVD SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6133
Mailing Address - Country:US
Mailing Address - Phone:256-539-9668
Mailing Address - Fax:256-319-0086
Practice Address - Street 1:820 MONTE SANO BLVD SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6133
Practice Address - Country:US
Practice Address - Phone:256-539-9668
Practice Address - Fax:256-319-0086
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL568103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical