Individual
DR. SUSAN KENT CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1132 GREENWOOD CLFS, CHARLOTTE, NC 28204-2821
(704) 376-6577
Mailing address
1132 GREENWOOD CLFS, CHARLOTTE, NC 28204-2821
(704) 736-6577
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4796
NC
103TC0700X
Clinical Psychologist
Primary
PSY002216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000913657A
—
GA
Enumeration date
03/28/2007
Last updated
04/10/2018
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