Provider Demographics
NPI:1013344878
Name:CAMPBELL, COLLEEN ANN (PHD, MS)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:ANN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PHD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 NEWTON ROAD
Mailing Address - Street 2:5296 CBRB
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1078
Mailing Address - Country:US
Mailing Address - Phone:319-353-5549
Mailing Address - Fax:319-335-3484
Practice Address - Street 1:285 NEWTON ROAD
Practice Address - Street 2:5291 CBRB
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1078
Practice Address - Country:US
Practice Address - Phone:319-353-5549
Practice Address - Fax:319-335-3484
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS