Campbell, Dianne E.

Campbell, Dianne E. is an sole proprietor health care provider with primary practice located at 880 Prospector Trail Suite 100, Harker Heights TX 76548. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Campbell, Dianne E. can be contacted via phone (254) 690-1512.

Contact Information

Primary practice address
880 Prospector Trail Suite 100 Harker Heights TX 76548
Phone: (254) 690-1512
Fax: (254) 690-1532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 08526 Texas

Profile Details

NPI number 1689757478
LBN Legal business name Campbell, Dianne E.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Sep 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689757478 NPPES
Texas MEDICAID 1082372-02

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