1679031264 NPI number — ANNETTE HELMCAMP PHD PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679031264 NPI number — ANNETTE HELMCAMP PHD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANNETTE HELMCAMP PHD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679031264
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6010 W SPRING CREEK PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75024-3569
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-718-0140
Provider Business Mailing Address Fax Number:
214-416-3103

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6010 W SPRING CREEK PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75024-3569
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-718-0140
Provider Business Practice Location Address Fax Number:
214-416-3103
Provider Enumeration Date:
03/04/2019

Additional Information

Authorized Official

Authorized Official Last Name:
HELMCAMP
Authorized Official First Name:
ANNETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
PHD/PSYCHOLOGIST
Authorized Official Telephone Number:
903-718-0140

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1992889554 . This is a "NPI INDIVIDUAL" identifier . This identifiers is of the category "OTHER".




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