| Doctor Name: | DR. HEATHER L CAMPBELL |
| NPI Number: | 1437193141 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 2913 |
| Business Practice Address: | 1650 Cochrane Cir Ft Carson, CO - 809134613 |
| Business Phone Number: | 7195265177 |
| Business Fax Number: | 7195037884 |
| Mailing Address: | 1650 Cochrane Cir, FORT CARSON |
| State: | CO |
| Postal Code: | 809134613 |
| Phone Number: | 7195267155 |
| Fax Number: | 7195037884 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 07/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2913 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |