Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL CAMPBELL JR.
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · BAKERSFIELD, CA
Registration Details
- NPI Number
- 1073128492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2020 (5.6108490403757 yrs)
- Last Updated
- Sep 11, 2020
- License
-
157806092 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4200 CRESCENT ROCK LNBAKERSFIELD, CA, 933112860Browse CA providers · Browse ZIP 93311
- Phone
- 3109300199
- Fax
- 8184751914
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.