Individual
DR. RALPH RICHARD CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
4101 MEDICAL PKWY, SUITE 103, AUSTIN, TX 78756-3734
(512) 458-5682
Mailing address
4101 MEDICAL PKWY, SUITE 103, AUSTIN, TX 78756-3734
(512) 458-5682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KR09
BCBSTX
TX
Enumeration date
03/30/2007
Last updated
07/08/2007
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