Doctor Name: | MR. FLOYD BRUCE CAMPBELL |
NPI Number: | 1497852172 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 151 Knollcroft Rd 116b Mh&bs Lyons, NJ - 079395001 |
Business Phone Number: | 9086470180 |
Business Fax Number: | 9086045251 |
Mailing Address: | 105 Leigh Ave, PRINCETON |
State: | NJ |
Postal Code: | 085423113 |
Phone Number: | 6099245267 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |