Individual
JENNIFER L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
114 TUSCOLA, BAY CITY, MI 48708-6995
(989) 895-0788
(989) 895-0799
Mailing address
114 TUSCOLA RD., BAY CITY, MI 48708-6995
(989) 895-0788
(989) 895-0799
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301014102
MI
103TC0700X
Clinical Psychologist
Primary
6301014102
MI
Other
Enumeration date
02/24/2011
Last updated
12/01/2015
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