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NPI Code Detail

MEDICARE: CAMPBELL PSYCHOLOGICAL SERVICES

MEDICARE: CAMPBELL PSYCHOLOGICAL SERVICES
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
1101YP2500XProfessional Counselor
2103T00000XPsychologist
3103TC2200XClinical Child & Adolescent Psychologist
4104100000XSocial Worker
51041C0700XClinical Social Worker
6106H00000XMarriage & Family Therapist
7101Y00000XCounselor
8101YM0800XMental Health Counselor
9103TC0700XClinical PsychologistPS015470PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376082644
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMPBELL PSYCHOLOGICAL SERVICES
Provider Business Mailing Address
First Line : 46 E HIGH ST
Second Line :
City : CARLISLE
State : PA
Zip : 17013-3015
Country : US
Telephone Number : 717-422-6440
Fax Number : 717-620-0536
Provider Business Practice Location Address
First Line : 46 E HIGH ST
Second Line :
City : CARLISLE
State : PA
Zip : 17013-3015
Country : US
Telephone Number : 717-422-6440
Fax Number : 717-620-0536
Authorized Official
Title or Position : OWNER & DIRECTOR
Name : DR. ELIZABETH MOREY CAMPBELL
Credential : PHD
Telephone Number : 717-422-6440
Provider Enumeration Date : 02/19/2017
Last Update Date : 04/07/2025

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1457010225 — BRIANNA NOELLE LIGHTNER LPC
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1114721503 — MADISON LEIGH MILLER
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1477418564 — MEDI SERVICE LLC
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Directions to “CAMPBELL PSYCHOLOGICAL SERVICES ” Practice Location

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