Individual
KRISTEN L CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
105 5TH ST N, SUITE 304, COLUMBUS, MS 39701-4568
(662) 549-7378
Mailing address
105 DOGWOOD BLVD, COLUMBUS, MS 39705-0343
(662) 549-7378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
47 814
MS
103TC0700X
Clinical Psychologist
730
SC
Other
Enumeration date
09/17/2006
Last updated
12/02/2008
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