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Individual

KATHY OCAMPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, HSPP

Contact information

Practice address
1211 E NATIONAL AVE, BRAZIL, IN 47834-2717
(812) 448-8801
(812) 446-5302
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
(812) 231-8323
(812) 231-8400

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041049
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200138390
IN
Enumeration date
05/12/2006
Last updated
03/15/2011
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