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NPI Code Detail

MEDICARE: DR. MARJORIE SAILE CAMPBELL PH.D., LCP

MEDICARE:  DR. MARJORIE SAILE CAMPBELL  PH.D., LCP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist0810002445VA

General Provider Information

NPI Number : 1912080649
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARJORIE SAILE CAMPBELL PH.D., LCP
Provider Business Mailing Address
First Line : 110B 83RD ST
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1806
Country : US
Telephone Number : 757-236-5840
Fax Number : 757-904-1694
Provider Business Practice Location Address
First Line : 1206 LASKIN RD STE 201
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-5263
Country : US
Telephone Number : 757-428-2192
Fax Number : 757-428-7875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 06/20/2026

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