Campbell, Theresa

Campbell, Theresa is an sole proprietor health care provider with primary practice located at 116 Commack Rd , Islip NY 11751-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Campbell, Theresa can be contacted via phone (631) 954-8679.

Contact Information

Primary practice address
116 Commack Rd Islip NY 11751-2604
Phone: (631) 954-8679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F408802-01 New York

Profile Details

NPI number 1912816489
LBN Legal business name Campbell, Theresa
Credentials PMHNP- BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2026
Last updated Sep 2nd, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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