Individual provider · NPI-1

Deanna Ing Campbell

Marriage & Family Therapist · Bishop, CA

NPI number1386348969
StatusActive
Last updated in NPPESAug 16, 2023

Details

NPI
1386348969
Entity type
Individual (NPI-1)
Name
Deanna Ing Campbell
Sex
Female
Sole proprietor
No
Enumeration date
Mar 28, 2023
Certification date
Aug 16, 2023
Last updated
Aug 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1360 N Main St Ste 114
Bishop, CA 93514-3013

Phone 760-872-1394

Mailing address

149 Scott Road
Bishop, CA 93514

Phone 760-920-2013

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