Provider Demographics
NPI:1538537568
Name:HILBURN-CAMPBELL, DONNA (MS)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:HILBURN-CAMPBELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LINCOLN AVE
Mailing Address - Street 2:NONE
Mailing Address - City:CLEMENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-3922
Mailing Address - Country:US
Mailing Address - Phone:856-723-4963
Mailing Address - Fax:
Practice Address - Street 1:25 LINCOLN AVE
Practice Address - Street 2:NONE
Practice Address - City:CLEMENTON
Practice Address - State:NJ
Practice Address - Zip Code:08021-3922
Practice Address - Country:US
Practice Address - Phone:856-723-4963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No305S00000XManaged Care OrganizationsPoint of Service