Active NPIIndividual providerSole proprietor

Ms. Shirley J Campbell, MS, MED

Counselor, Mental Health in Woodbury, Connecticut

NPI Number1174782536
Practice location
43 Sherman Hill RD, Bldg D-Suite 203, Woodbury, CT 06798-3651
Fax
—
Last updated
June 2, 2008

Shirley Jane Campbell is a Counselor, Mental Health based in Woodbury, CT. Shirley Jane Campbell practices in Woodbury, CT and has the professional credentials of MS, MED. The NPI Number for Shirley Jane Campbell is 1174782536 and holds a License No. 001064 (CT). The current practice location address for Shirley Jane Campbell is 43 Sherman Hill RD, Bldg D-Suite 203, Woodbury, CT 06798-3651 and can be reached out via phone at 203-266-4142.

Provider Profile Details

NPI Number
1174782536
Provider Name
Shirley Jane Campbell
Credential
MS, MED
Provider Entity Type
Individual
Gender
Female
Address
43 Sherman Hill RD, Bldg D-Suite 203, Woodbury, CT 06798-3651
Phone Number
203-266-4142
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Other Names
-- Shirley Jane Campbell, MS, MED (Professional Name)
Provider Enumeration Date
June 2, 2008
Last Update Date
June 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Sherman Hill RD
Bldg D-Suite 203
Woodbury, CT 06798-3651
Zip
06798-3651
Phone Number
203-266-4142
Woodbury, CT 06798Get directions →

Provider Business Mailing Address Details

Address
43 Sherman Hill RD
Bldg D-Suite 203
Woodbury, CT 06798-3651
City
Woodbury
State
CT
Zip
06798-3651
Phone Number
203-266-4142

License Information

License Number
001064
License State
CT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Shirley J Campbell, MS, MED?

The NPI number of Ms. Shirley J Campbell, MS, MED is 1174782536. It was assigned on June 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Shirley J Campbell, MS, MED?

Ms. Shirley J Campbell, MS, MED is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 001064.

Where does Ms. Shirley J Campbell, MS, MED practice?

The practice location is 43 Sherman Hill RD, Bldg D-Suite 203, Woodbury, CT 06798-3651. The office can be reached at 203-266-4142 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174782536 directly on the NPPES registry website.

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