Doctor Name: | VELMA LEE CAMPBELL |
NPI Number: | 1013204502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | KY-0086 |
Business Practice Address: | 112 Allie Young Hall Msu Caudill Health Clinic Morehead, KY - 403511179 |
Business Phone Number: | 6067832055 |
Business Fax Number: | 6067836877 |
Mailing Address: | 112 Allie Young Hall, Msu Caudill Health Clinic MOREHEAD |
State: | KY |
Postal Code: | 403511179 |
Phone Number: | 6067832055 |
Fax Number: | 6067836877 |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 07/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | KY-0086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |