Doctor Name: | CINDY CAMPBELL |
NPI Number: | 1467879924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 182236 |
Business Practice Address: | 37968 E County Road 1530 Pauls Valley, OK - 730758531 |
Business Phone Number: | 4052383660 |
Business Fax Number: | |
Mailing Address: | 37968 E County Road 1530, PAULS VALLEY |
State: | OK |
Postal Code: | 730758531 |
Phone Number: | 4052383660 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2014 |
NPI Last Update Date: | 03/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 182236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |