Campbell, Anna J

Campbell, Anna J is an sole proprietor health care provider with primary practice located at 10625 W North Ave Suite 208, Wauwatosa WI 53226-2315. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Campbell, Anna J can be contacted via phone (414) 476-2699.

Contact Information

Primary practice address
10625 W North Ave Suite 208 Wauwatosa WI 53226-2315
Phone: (414) 476-2699
Fax: (414) 476-9643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 124-057 Wisconsin

Profile Details

NPI number 1255404687
LBN Legal business name Campbell, Anna J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255404687 NPPES
Wisconsin MEDICAID 39052300

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