Doctor Name: | MRS. WENDY CAMPBELL |
NPI Number: | 1205003183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 118 W High St Ebensburg, PA - 159311539 |
Business Phone Number: | 8144729330 |
Business Fax Number: | |
Mailing Address: | 118 W High St, EBENSBURG |
State: | PA |
Postal Code: | 159311539 |
Phone Number: | 8144729330 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2008 |
NPI Last Update Date: | 05/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |