| Doctor Name: | MRS. PAMELA A CAMPBELL |
| NPI Number: | 1013226810 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 075450 |
| Business Practice Address: | 195-199 W. Dommick St. Rome, NY - 134405855 |
| Business Phone Number: | 3152722730 |
| Business Fax Number: | 3153370675 |
| Mailing Address: | 293 Genesee St, UTICA |
| State: | NY |
| Postal Code: | 135013804 |
| Phone Number: | 3152722600 |
| Fax Number: | 3157338169 |
| NPI Enumeration Date: | 09/28/2010 |
| NPI Last Update Date: | 11/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 075450 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |