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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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