Campbell, Elizabeth Brooke

Campbell, Elizabeth Brooke is an individual health care provider with primary practice located at 320 Thomas More Pkwy , Crestview Hills KY 41017. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Campbell, Elizabeth Brooke can be contacted via phone (859) 341-4266.

Contact Information

Primary practice address
320 Thomas More Pkwy Crestview Hills KY 41017
Phone: (859) 341-4266
Fax: (859) 344-5076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 277928 Kentucky
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301019071 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 277928 Kentucky

Profile Details

NPI number 1093221350
LBN Legal business name Campbell, Elizabeth Brooke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2017
Last updated Sep 11th, 2023 - about 2 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 1093221350 NPPES
Kentucky MEDICAID 7100846950

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