Provider Demographics
NPI:1861570335
Name:CAMPLING, SUSAN J (RN, PSYD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:J
Last Name:CAMPLING
Suffix:
Gender:F
Credentials:RN, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SCHUYLER RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2520
Mailing Address - Country:US
Mailing Address - Phone:610-733-7282
Mailing Address - Fax:
Practice Address - Street 1:1 SCHUYLER RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2520
Practice Address - Country:US
Practice Address - Phone:610-733-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015499103TC0700X
PARN288343L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No163W00000XNursing Service ProvidersRegistered Nurse