Provider Demographics
NPI:1598335895
Name:CAMPANILE, CECELIA ANNA (AUD)
Entity Type:Individual
Prefix:
First Name:CECELIA
Middle Name:ANNA
Last Name:CAMPANILE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-4237
Mailing Address - Country:US
Mailing Address - Phone:973-600-9356
Mailing Address - Fax:
Practice Address - Street 1:660 WHITE PLAINS RD FL 4
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5139
Practice Address - Country:US
Practice Address - Phone:914-333-5801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00114600231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist