Provider Demographics
NPI:1942519665
Name:CAMPBELL, CHRISTINE ANN (MS)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:ANN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BEAL ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1540
Mailing Address - Country:US
Mailing Address - Phone:781-556-5172
Mailing Address - Fax:781-749-3873
Practice Address - Street 1:549 COLUMBIAN ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1138
Practice Address - Country:US
Practice Address - Phone:781-556-5172
Practice Address - Fax:781-749-3873
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional