Individual
BENJAMIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3505 BROADWAY FL 4, OAKLAND, CA 94611-5798
(510) 752-1075
Mailing address
3505 BROADWAY FL 4, OAKLAND, CA 94611-5798
(510) 752-1075
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27055
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY27055
CA
Other
Enumeration date
07/17/2009
Last updated
07/07/2023
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