Doctor Name: | MS. SUSAN D CAMPBELL |
NPI Number: | 1255401816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 190 Bonar Ave Waynesburg, PA - 153701604 |
Business Phone Number: | 7246278156 |
Business Fax Number: | |
Mailing Address: | 1070 Old National Pike, FREDERICKTOWN |
State: | PA |
Postal Code: | 153332114 |
Phone Number: | 7246326801 |
Fax Number: | 7246326312 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |