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Individual

MELISSA CLAIRE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD., PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
17-14P
AR
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2018017700
MO

Other

Enumeration date
03/13/2018
Last updated
06/04/2018
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