| Doctor Name: | TERRY CAMPBELL |
| NPI Number: | 1033500962 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 1400176-TRNE |
| Business Practice Address: | 8445 Munson Rd Mentor, OH - 440602410 |
| Business Phone Number: | 4402551700 |
| Business Fax Number: | |
| Mailing Address: | 8445 Munson Rd, MENTOR |
| State: | OH |
| Postal Code: | 440602410 |
| Phone Number: | 4402551700 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2015 |
| NPI Last Update Date: | 02/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1400176-TRNE |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |