Provider Demographics
NPI:1508654310
Name:CAMPBELL, ADAM F
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:F
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N114W16045 SYLVAN CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-3353
Mailing Address - Country:US
Mailing Address - Phone:262-232-0185
Mailing Address - Fax:262-232-0185
Practice Address - Street 1:N114W16045 SYLVAN CIR APT 202
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022-3353
Practice Address - Country:US
Practice Address - Phone:262-232-0185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician