Individual
DR. MATTHEW GIBSON CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
22 LAWRENCE AVE STE 304, SMITHTOWN, NY 11787-3619
(631) 361-6858
(631) 224-4992
Mailing address
11 WHITNEY GATE, SMITHTOWN, NY 11787
(631) 361-6858
(631) 224-4992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
9479
NY
103TC0700X
Clinical Psychologist
Primary
9479
NY
Other
Enumeration date
06/22/2007
Last updated
12/23/2010
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