Doctor Name: | ALEXANDRA CAMPBELL |
NPI Number: | 1003245895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 13349 |
Business Practice Address: | 105 Hospital Rd Sonora, CA - 953705227 |
Business Phone Number: | 2095337000 |
Business Fax Number: | 2095337007 |
Mailing Address: | 105 Hospital Rd, SONORA |
State: | CA |
Postal Code: | 953705227 |
Phone Number: | 2095337000 |
Fax Number: | 2095337007 |
NPI Enumeration Date: | 11/02/2013 |
NPI Last Update Date: | 11/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 13349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |