Doctor Name: | ANNE E CAMPBELL |
NPI Number: | 1073952594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | 6301010948 |
Business Practice Address: | 8898 Commerce Rd Suite 3a Commerce Twp, MI - 483824485 |
Business Phone Number: | 2483632850 |
Business Fax Number: | 8003806809 |
Mailing Address: | 34024 Schulte Dr, FARMINGTON |
State: | MI |
Postal Code: | 483354163 |
Phone Number: | 2483632850 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 6301010948 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |