Individual
DR. MATTHEW WARREN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2005 HARRIS DR, OXFORD, MS 38655-4222
(662) 513-9936
(662) 513-9937
Mailing address
2005 HARRIS DR, OXFORD, MS 38655-4222
(662) 513-9936
(662) 513-9937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
43-695
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08079804
—
MS
Enumeration date
07/21/2006
Last updated
12/15/2008
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