| Doctor Name: | DR. ALAN R CAMPAGNA |
| NPI Number: | 1427192467 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. MSW |
| License Number: | 2029523 |
| Business Practice Address: | 733 Chapin St Suit 200d Ludlow, MA - 010561900 |
| Business Phone Number: | 4133133591 |
| Business Fax Number: | 4136100060 |
| Mailing Address: | 93 New Crest St, LUDLOW |
| State: | MA |
| Postal Code: | 010563138 |
| Phone Number: | 4133133591 |
| Fax Number: | 4136100060 |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2029523 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |