Provider Demographics
NPI:1841526985
Name:CAMPFIELD, DELIA C (PHD)
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:C
Last Name:CAMPFIELD
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 1:129 W KENT AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-6730
Mailing Address - Country:US
Mailing Address - Phone:406-541-7404
Mailing Address - Fax:406-542-1032
Practice Address - Street 1:129 W KENT AVE
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6730
Practice Address - Country:US
Practice Address - Phone:406-541-7404
Practice Address - Fax:406-542-1032
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-25
Last Update Date:2009-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT399103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist