Provider Demographics
NPI:1073782439
Name:ANNA M CAMPION PLLC
Entity Type:Organization
Organization Name:ANNA M CAMPION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAMPION
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-808-7200
Mailing Address - Street 1:1818 W LINDSEY ST
Mailing Address - Street 2:BLDG C, STE 200/208
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4159
Mailing Address - Country:US
Mailing Address - Phone:405-808-7200
Mailing Address - Fax:405-217-0356
Practice Address - Street 1:1818 W LINDSEY ST
Practice Address - Street 2:BLDG C, STE 200/208
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4159
Practice Address - Country:US
Practice Address - Phone:405-808-7200
Practice Address - Fax:405-217-0356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK911103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100838410BMedicaid
OK200522050Medicare PIN