NPI Code Details Logo

NPI 1023579810

NPI 1023579810 : MRS. SUZZIE CAMPFIELD : PRINCETON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023579810
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MRS. SUZZIE CAMPFIELD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/26/2019
-----------------------------------------------------
    Last Update Date     |    07/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1623 WHITE MOUNTAIN WAY 
-----------------------------------------------------
    City                 |    PRINCETON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75407-0708
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-701-1328
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7611 S 36TH ST APT 259 
-----------------------------------------------------
    City                 |    PHOENIX
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85042-7291
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-701-1328
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    1-21-50187
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.