Nicole M Campbell, PHD
Individual provider Active NPI Clinical Psychologist · Dover Afb, DE
NPI 1962778019 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1962778019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 05515 (MD)
- Practice address
- 300 Tuskegee Blvd
Dover Afb, DE 19902-5003 - Phone
- (302) 677-2674
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05515 | MD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05515 | MD | Yes |
Addresses
Primary practice location
300 Tuskegee Blvd
Dover Afb, DE 19902-5003
Mailing address
300 Tuskegee Blvd
Dover Afb, DE 19902-5003
Phone (302) 677-2674
Other providers in Dover Afb, DE
- Arezoo Barani
- Aaron Brady
- Alice Jean Briones
- Gabrielle Christine Brow
- Carmelita Burns-Wilson
- Matthew John Cazan Jr.
- Denise Inga Coleman
- Deidre Monique Cooperwood
- Geoffrey Wallace Crawley
- Nyemade Cummings-Swen
All providers in Dover Afb, DE · Clinical Psychologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. 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.