Campbell Integrative Psychological Services

NPI #1750020954 in Mc Lean, Virginia

Provider Information

NPI Number: 1750020954
Entity Type: Organization
Organization Name: Campbell Integrative Psychological Services
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 3, 2022
Last Updated: Jun 3, 2022

Practice Location

Address: 8200 GREENSBORO DR STE 900
City: Mc Lean
State: Virginia
ZIP Code: 22102-4931
Phone: (571) 255-9859

Authorized Official

Name: DR. SHUSHAN CAMPBELL
Title: PSYCHOLOGIST/CLINUCAL DIRECTOR
Phone: (571) 255-9859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Family — Family	103TF0000X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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