Individual
TERRAH CAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PYSCH TECH
Contact information
Practice address
1919 APPLE ST STE G, OCEANSIDE, CA 92054-4425
(760) 547-1280
Mailing address
1919 APPLE ST STE G, OCEANSIDE, CA 92054-4425
(760) 547-1280
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT33534
CA
Other
Enumeration date
04/11/2017
Last updated
03/17/2018
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