Provider Demographics
NPI:1275848319
Name:CAMPOLO, ANTHONY SILVIO (MHS-CC,LPC,LCADC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:SILVIO
Last Name:CAMPOLO
Suffix:
Gender:M
Credentials:MHS-CC,LPC,LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 WEST LINDEN ST.
Mailing Address - Street 2:B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5563
Mailing Address - Country:US
Mailing Address - Phone:570-401-3216
Mailing Address - Fax:
Practice Address - Street 1:5666 CLYMER ROAD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-3264
Practice Address - Country:US
Practice Address - Phone:215-538-3488
Practice Address - Fax:215-538-8692
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00017400101Y00000X
PAPC006458101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor