Provider Demographics
NPI:1528628054
Name:SUSAN J CAMPLING ,RN, PSY.D PC
Entity type:Organization
Organization Name:SUSAN J CAMPLING ,RN, PSY.D PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST- OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAMPLING
Authorized Official - Suffix:
Authorized Official - Credentials:RN, PSYD
Authorized Official - Phone:610-733-7282
Mailing Address - Street 1:600 PLEASANT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-9261
Mailing Address - Country:US
Mailing Address - Phone:610-733-7282
Mailing Address - Fax:
Practice Address - Street 1:45 DARBY RD STE F
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1475
Practice Address - Country:US
Practice Address - Phone:610-733-7282
Practice Address - Fax:610-688-1982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty