Doctor Name: | SHARON ANN CAMPBELL |
NPI Number: | 1053594788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., NCC, LPC |
License Number: | PC001227 |
Business Practice Address: | 424 Frederick Ave Sewickley, PA - 151431523 |
Business Phone Number: | 4127414087 |
Business Fax Number: | 4127416808 |
Mailing Address: | 424 Frederick Ave, SEWICKLEY |
State: | PA |
Postal Code: | 151431523 |
Phone Number: | 4127414087 |
Fax Number: | 4127416808 |
NPI Enumeration Date: | 12/17/2007 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC001227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |