Organization
ALAN C CAMPBELL PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN CARL CAMPBELL PH.D. (OWNER)
(405) 372-1988
Entity
Organization
Contact information
Practice address
2220 W 7TH AVE, STILLWATER, OK 74074-4105
(405) 372-1988
(405) 624-1988
Mailing address
2220 W 7TH AVE, STILLWATER, OK 74074-4105
(405) 372-1988
(405) 624-1988
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
589
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462134534
—
OK
Enumeration date
12/06/2010
Last updated
12/06/2010
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