Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PS015470 | PA |
N | 103T00000X | Psychologist | PS015470 | PA |
Y | 103G00000X | Clinical Psychologist | PS015470 | PA |
Y | 103TC0700X | Clinical Psychologist | PS015470 | PA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS015470 | PA |
NPI | 1093795825 |
---|---|
Provider Name | Dr. Elizabeth Morey Campbell |
First Address | Carlisle, PA 17013-2429 |
Second Address | Carlisle, PA 17013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 14/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103472634 | (05) | PA |