Doctor Name: | MS. CHERYLANNE CAMPBELL |
NPI Number: | 1205829645 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 37PC00233100 |
Business Practice Address: | 84 Route 31 N Suite 200 Pennington, NJ - 085343605 |
Business Phone Number: | 6098189770 |
Business Fax Number: | |
Mailing Address: | 84 Route 31 N, Suite 200 PENNINGTON |
State: | NJ |
Postal Code: | 085343605 |
Phone Number: | 6098189770 |
Fax Number: | 6097370007 |
NPI Enumeration Date: | 08/30/2005 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00233100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |