Individual
MONICA T CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
1500 WALNUT ST, SUITE 902, PHILADELPHIA, PA 19102-3523
(215) 964-8335
Mailing address
PO BOX 34210, PHILADELPHIA, PA 19101-4210
(215) 964-8335
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015555
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101610491
—
PA
Enumeration date
03/26/2007
Last updated
05/12/2011
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