Provider Demographics
NPI:1649387184
Name:CAMPAGNA, ANTHONY FRANK (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:FRANK
Last Name:CAMPAGNA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06517-1407
Mailing Address - Country:US
Mailing Address - Phone:203-288-3584
Mailing Address - Fax:203-407-1309
Practice Address - Street 1:1844 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06517-1407
Practice Address - Country:US
Practice Address - Phone:203-288-3584
Practice Address - Fax:203-407-1309
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000614103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical