Organization
CAMPBELL COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC
Active
Other names
PCIT & TCIT Training
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CAMPBELL PH.D. (PRESIDENT)
(405) 482-3116
Entity
Organization
Contact information
Practice address
1985 W 33RD ST, EDMOND, OK 73013-3875
(405) 482-3116
(405) 285-6814
Mailing address
2716 GREEN CANYON DR, EDMOND, OK 73013-5732
(405) 482-3116
(405) 242-3892
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14618350
CAQH PROVIDER ID
—
Enumeration date
02/17/2020
Last updated
04/15/2020
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