Lisa Cecilia Campbell in Park Ridge - Clinical
Lisa Cecilia Campbell - NPI 1184730764
Lisa Cecilia Campbell is a Clinical in Park Ridge, Illinois. Lisa Cecilia Campbell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Cecilia Campbell is 1184730764. The last update date is 2010-12-20.
Lisa Cecilia Campbell's current location address is 1400 Renaissance Dr, Park Ridge, Illinois. You can contact this provider via phone number 8473188200 and fax number 8473189170. The mailing address for Lisa Cecilia Campbell is 1400 Renaissance Dr, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Cecilia Campbell |
|---|---|
| Address | 1400 Renaissance Dr, Park Ridge, Illinois |
| Phone Number | 8473188200 |
| Fax Number | 8473189170 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1184730764 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2010-12-20 |
Provider Mailing Address Detail
| Address | 1400 Renaissance Dr |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 600681329 |
| Phone Number | 8473188200 |
| Fax Number | 8473189170 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-006617 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Lisa Cecilia Campbell by the Centers for Medicare & Medicaid Services?
The Lisa Cecilia Campbell has been issued the NPI (National Provider Identifier) 1184730764, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lisa Cecilia Campbell located?
The Lisa Cecilia Campbell is located at 1400 Renaissance Dr, Park Ridge, IL 600681329.
What is Lisa Cecilia Campbell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Cecilia Campbell's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did the Lisa Cecilia Campbell receive its 1184730764?
The Lisa Cecilia Campbell was issued its 1184730764 on 2006-08-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Lisa Cecilia Campbell most recently updated or revised?
The information pertaining to Lisa Cecilia Campbell, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-20.