Doctor Name: | NATALIE CAMPBELL |
NPI Number: | 1871998500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | T7M136500344 |
Business Practice Address: | 275 Business Park Dr. Kenna, WV - 25248 |
Business Phone Number: | 3044856513 |
Business Fax Number: | |
Mailing Address: | 2507 9th Ave, PARKERSBURG |
State: | WV |
Postal Code: | 261015855 |
Phone Number: | 3044856513 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2014 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | T7M136500344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |