Doctor Name: | MRS. MELANIE M. CAMPBELL |
NPI Number: | 1043348212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,N.C.C. |
License Number: | |
Business Practice Address: | 1002 Brindley Dr Pulaski, TN - 384784705 |
Business Phone Number: | 9313635438 |
Business Fax Number: | 9313633564 |
Mailing Address: | 227 Parkes Ave, LAWRENCEBURG |
State: | TN |
Postal Code: | 384643446 |
Phone Number: | 9317665901 |
Fax Number: | 9313633564 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |