Doctor Name: | MRS. LINDA S CAMPBELL |
NPI Number: | 1033403928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LPC |
License Number: | PC001562 |
Business Practice Address: | 1258 Purdytown Turnpike, Route 590, Lakeville, PA - 184386793 |
Business Phone Number: | 5704706190 |
Business Fax Number: | |
Mailing Address: | 1258 Purdytown Turnpike, Route 590,, LAKEVILLE |
State: | PA |
Postal Code: | 184386793 |
Phone Number: | 5704706190 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2011 |
NPI Last Update Date: | 03/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC001562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |