Alan C Campbell PHD PLLC
Organization Active NPI Psychologist · Stillwater, OK
NPI 1881997393 · NPPES record last updated Dec 6, 2010
Key facts
- NPI
- 1881997393
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 589 (OK)
- Legal business name
- ALAN C CAMPBELL PHD PLLC
- Practice address
- 2220 W 7TH Ave
Stillwater, OK 74074-4105 - Phone
- (405) 372-1988
- Fax
- (405) 624-1988
- NPI assigned
- Dec 6, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Alan Carl Campbell, PH.D.
- Title
- Owner
- Phone
- (405) 372-1988
National Provider Directory
Locations
2220 W 7th Ave
Stillwater, OK 74074
Phone (405) 372-1988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 589 | OK | Yes |
Addresses
Primary practice location
2220 W 7TH Ave
Stillwater, OK 74074-4105
Mailing address
2220 W 7TH Ave
Stillwater, OK 74074-4105
Phone (405) 372-1988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462134534 | Medicaid | OK |
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.