Campbell, Sandra

Campbell, Sandra is an individual health care provider with primary practice located at Anna Marsh Lane , Brattleboro VT 05302. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Campbell, Sandra can be contacted via phone (802) 257-7785.

Contact Information

Primary practice address
Anna Marsh Lane Brattleboro VT 05302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 048-0000411 Vermont
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048-0000411 Vermont

Profile Details

NPI number 1427039866
LBN Legal business name Campbell, Sandra
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Mar 17th, 2009 - about 16 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 1427039866 NPPES
Vermont MEDICAID 1003256

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