Doctor Name: | MR. ROBERT LOY CAMPBELL |
NPI Number: | 1023059714 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | SW 9446 |
Business Practice Address: | 711 W Main St Leesburg, FL - 347485128 |
Business Phone Number: | 3524354000 |
Business Fax Number: | 3524354015 |
Mailing Address: | 711 W Main St, LEESBURG |
State: | FL |
Postal Code: | 347485128 |
Phone Number: | 3524354000 |
Fax Number: | 3524354015 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 05/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 9446 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |