Campbell, Nicole M

Campbell, Nicole M is an individual health care provider with primary practice located at 271 Fort Richardson Ave , Goodfellow Afb TX 76908-4901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Campbell, Nicole M can be contacted via phone (325) 654-3122.

Contact Information

Primary practice address
271 Fort Richardson Ave Goodfellow Afb TX 76908-4901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 05515 Maryland

Profile Details

NPI number 1962778019
LBN Legal business name Campbell, Nicole M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Mar 26th, 2018 - about 6 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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