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NPI Code Detail

MEDICARE: ALEXIS CAMPANEO

MEDICARE: ALEXIS CAMPANEO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAPC001200PA

General Provider Information

NPI Number : 1447979562
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS CAMPANEO
Provider Business Mailing Address
First Line : 1013 DEERFIELD DR
Second Line :
City : ELIZABETH
State : PA
Zip : 15037-2235
Country : US
Telephone Number : 412-439-5440
Fax Number :
Provider Business Practice Location Address
First Line : 3025 JACKS RUN RD STE 5
Second Line :
City : WHITE OAK
State : PA
Zip : 15131-2549
Country : US
Telephone Number : 412-664-7671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 07/11/2025

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Directions to “ ALEXIS CAMPANEO ” Practice Location

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