Healthcare Provider Details

I. General information

NPI: 1487515128
Provider Name (Legal Business Name): BRITTNEY CAMPBELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29141 VALLEJO AVE
TEMECULA CA
92592-2319
US

IV. Provider business mailing address

29141 VALLEJO AVE
TEMECULA CA
92592-2319
US

V. Phone/Fax

Practice location:
  • Phone: 760-765-5500
  • Fax:
Mailing address:
  • Phone: 760-765-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number210247193
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: