Organization
CAMPBELL INTEGRATIVE PSYCHOLOGICAL SERVICES
Active
Organization
CAMPBELL INTEGRATIVE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUSHAN CAMPBELL (PSYCHOLOGIST/CLINUCAL DIRECTOR)
(571) 255-9859
Entity
Organization
Contact information
Practice address
8200 GREENSBORO DR STE 900, MC LEAN, VA 22102-4931
(571) 255-9859
Mailing address
8200 GREENSBORO DR STE 900, MC LEAN, VA 22102-4931
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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