Individual
ELIZABETH BROOKE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017
(859) 341-4266
(859) 344-5076
Mailing address
4805 MONTGOMERY RD STE 150, CINCINNATI, OH 45212-2280
(513) 961-5558
(513) 961-1912
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
277928
KY
103T00000X
Psychologist
277928
KY
103T00000X
Psychologist
6301019071
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100846950
—
KY
Enumeration date
12/22/2017
Last updated
09/11/2023
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