Individual
STEPHANIE LYNN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3734 SOUTH AVE STE E, SPRINGFIELD, MO 65807-5291
(417) 848-8889
(417) 427-6479
Mailing address
4218 N FARM ROAD 79, WILLARD, MO 65781-9423
(417) 848-8889
(417) 427-6479
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2011010083
MO
103TC0700X
Clinical Psychologist
Primary
2005038070
MO
Other
Enumeration date
10/27/2010
Last updated
03/03/2023
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