Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA CAMPBELL
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · GRASS VALLEY, CA
Registration Details
- NPI Number
- 1558682070
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2010 (15.843554304982 yrs)
- Last Updated
- Jun 18, 2010
- Sole Proprietor
- Yes
Practice Information
- Address
-
714 W MAIN STGRASS VALLEY, CA, 959456410Browse CA providers · Browse ZIP 95945
- Phone
- 5304779800
- Fax
- 5304779803
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in GRASS VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| CRISTINE DAVIS | — | 1356562748 |
| SHIRLEY MAE HOUSTON | — | 1568683084 |
| DEBORAH JOY GILCREST | MFTI | 1083836472 |
| KATIE MCCAMMON | — | 1346452455 |
| ERIN COMPTON | — | 1659583672 |
| MICHAEL BLEDSOE | — | 1114139136 |
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.