Provider Demographics
NPI:1336873736
Name:CAMPBELL, ABIGAIL BARRETT
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:BARRETT
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 REGIS RD
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-4227
Mailing Address - Country:US
Mailing Address - Phone:781-835-9421
Mailing Address - Fax:
Practice Address - Street 1:51 REGIS RD
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-4227
Practice Address - Country:US
Practice Address - Phone:781-835-9421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health