| Campbell Neuropsychological Services, Pc | |
|
6200 Aurora Ave Ste 202w Urbandale IA 50322-2876 | |
| (515) 252-2522 | |
| (515) 252-2523 |
| Full Name | Campbell Neuropsychological Services, Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6200 Aurora Ave Ste 202w, Urbandale, Iowa |
| Authorized Official Name and Position | Derek Campbell (PRESIDENT) |
| Authorized Official Contact | 5152522522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Neuropsychological Services, Pc 6200 Aurora Ave Ste 202w Urbandale IA 50322-2876 Ph: (515) 252-2522 | Campbell Neuropsychological Services, Pc 6200 Aurora Ave Ste 202w Urbandale IA 50322-2876 Ph: (515) 252-2522 |
| NPI Number | 1205815495 |
|---|---|
| Provider Enumeration Date | 01/16/2006 |
| Last Update Date | 12/28/2017 |
| Medicare PECOS PAC ID | 1254354707 |
|---|---|
| Medicare Enrollment ID | O20060110001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205815495 | NPI | - | NPPES |
| 232250 | Other | IA | MIDLANDS CHOICE NUMBER |
| 37722 | Other | IA | WELLMARK NUMBER |
| IA0101 | Other | IA | JOHN DEERE NUMBER |
| IA0101 | Other | IA | UNITED BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 00899 (Iowa) | Primary |
| Provider Name | Derek A Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356446314 PECOS PAC ID: 3173507332 Enrollment ID: I20060125000437 |
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