Provider Demographics
NPI:1396731667
Name:CAMPION, ANNA M (PHD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:M
Last Name:CAMPION
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 1:1818 W LINDSEY ST
Mailing Address - Street 2:BLDG C, STE 200/208
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4159
Mailing Address - Country:US
Mailing Address - Phone:405-808-7200
Mailing Address - Fax:405-217-0356
Practice Address - Street 1:1818 W LINDSEY ST
Practice Address - Street 2:BLDG C, STE 200/208
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4159
Practice Address - Country:US
Practice Address - Phone:405-808-7200
Practice Address - Fax:405-217-0356
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK911103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100838410BMedicaid
OK100838410BMedicaid