Healthcare Provider Details

I. General information

NPI: 1093795825
Provider Name (Legal Business Name): ELIZABETH MOREY CAMPBELL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 E HIGH ST
CARLISLE PA
17013-3015
US

IV. Provider business mailing address

46 E HIGH ST
CARLISLE PA
17013-3015
US

V. Phone/Fax

Practice location:
  • Phone: 717-422-6440
  • Fax: 717-620-0536
Mailing address:
  • Phone: 717-422-6440
  • Fax: 717-620-0536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS015470
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS015470
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS015470
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: