| Elizabeth Mccampbell Phd Pc | |
|
3325 Paddocks Pkwy Ste 415 Suwanee GA 30024-6059 | |
| (404) 216-0252 | |
| Not Available |
| Full Name | Elizabeth Mccampbell Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3325 Paddocks Pkwy Ste 415, Suwanee, Georgia |
| Authorized Official Name and Position | Micheaux Hall (OFFICE MANAGER) |
| Authorized Official Contact | 6785130313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Mccampbell Phd Pc 5285 Marston Rd Atlanta GA 30360-1226 Ph: (404) 216-0252 | Elizabeth Mccampbell Phd Pc 3325 Paddocks Pkwy Ste 415 Suwanee GA 30024-6059 Ph: (404) 216-0252 |
| NPI Number | 1154567824 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Medicare PECOS PAC ID | 5395808075 |
|---|---|
| Medicare Enrollment ID | O20090106000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154567824 | NPI | - | NPPES |
| 1154567824 | Other | GA | GROUP NPI |
| 000277109A | Medicaid | GA | |
| 1386626000 | Other | GA | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 894 (Georgia) | Primary |
| Provider Name | Elizabeth Mccampbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386626000 PECOS PAC ID: 3173686953 Enrollment ID: I20090106000652 |
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