Provider Demographics
NPI:1578447728
Name:CALLAHAN, ALIDA JOHANNA (ND, DAC)
Entity type:Individual
Prefix:DR
First Name:ALIDA
Middle Name:JOHANNA
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:ND, DAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20108 MESA DR
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-7557
Mailing Address - Country:US
Mailing Address - Phone:928-606-9375
Mailing Address - Fax:
Practice Address - Street 1:20601 CALIFORNIA 202
Practice Address - Street 2:SUITE A103
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561
Practice Address - Country:US
Practice Address - Phone:928-606-9375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1574175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath