IndividualActive
Immanuel Callahan
NPI 1376252536 · Intellectual & Developmental Disabilities Psychologist · Cleveland, OH
Provider details
- NPI number
- 1376252536
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- UQ962169 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3271 W 115th St
Cleveland, OH 44111-2743
Phone: (216) 532-9955
Approximate (ZIP-level) locationGet directions
Mailing address
3271 W 115th St
Cleveland, OH 44111-2743
Registry dates
- Enumerated
- 2022-11-16
- Last updated
- 2022-11-16
- Certified
- 2022-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.