Organization
ELIZABETH MCCAMPBELL PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAUX HALL (OFFICE MANAGER)
(678) 513-0313
Entity
Organization
Contact information
Practice address
3325 PADDOCKS PKWY STE 415, SUWANEE, GA 30024-6059
(404) 216-0252
Mailing address
5285 MARSTON RD, ATLANTA, GA 30360-1226
(404) 216-0252
(678) 513-1188
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000277109A
—
GA
01
—
1154567824
GROUP NPI
GA
01
—
1386626000
NPI INDIVIDUAL
GA
Enumeration date
12/30/2008
Last updated
02/20/2023
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