Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TS0200X | School Psychologist |
NPI | 1023198017 |
---|---|
Provider Name | Annette D Campbell |
First Address | Tucson, AZ 85705-3014 |
Second Address | Tucson, AZ 85705-3014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |