Provider Demographics
NPI:1639537483
Name:CAMPBELL, SHERRIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERRIE
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1085 KAI OIO ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6279
Mailing Address - Country:US
Mailing Address - Phone:808-800-1818
Mailing Address - Fax:
Practice Address - Street 1:91-1085 KAI OIO ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-6279
Practice Address - Country:US
Practice Address - Phone:808-800-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral