Provider Demographics
NPI:1194141259
Name:MCCAMPBELL, DAPHNE (PHD)
Entity type:Individual
Prefix:DR
First Name:DAPHNE
Middle Name:
Last Name:MCCAMPBELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 MAIN ST., PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:VT
Mailing Address - Zip Code:05055
Mailing Address - Country:US
Mailing Address - Phone:802-821-0450
Mailing Address - Fax:
Practice Address - Street 1:289 MAIN ST.
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:VT
Practice Address - Zip Code:05055
Practice Address - Country:US
Practice Address - Phone:802-821-0450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist