CAMPBELL NEUROPSYCHOLOGICAL SERVICES, PC
Clinical Neuropsychologist
Urbandale, Iowa
Provider NPI: 1205815495
Organization Information:Organization Name: CAMPBELL NEUROPSYCHOLOGICAL SERVICES, PC
Organization is not Subpart
Authorized Official: DEREK CAMPBELL PRESIDENT 515-2522522
Practice Location:
6200 AURORA AVE STE 202W URBANDALE, IA 50322 US
Tel: 515-252-2522 Fax: 515-252-2523
Business Mailing Address:
6200 AURORA AVE STE 202W URBANDALE, IA 50322 US
Tel: 515-252-2522 Fax: 515-252-2523
Entity Type: Organization
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Organization is not Subpart
Authorized Official: DEREK CAMPBELL PRESIDENT 515-2522522
Practice Location:
6200 AURORA AVE STE 202W URBANDALE, IA 50322 US
Tel: 515-252-2522 Fax: 515-252-2523
Business Mailing Address:
6200 AURORA AVE STE 202W URBANDALE, IA 50322 US
Tel: 515-252-2522 Fax: 515-252-2523
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | IA | 00899 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UNITED BEHAVIORAL HEALTH | IA0101 | IA | 01 |
JOHN DEERE NUMBER | IA0101 | IA | 01 |
WELLMARK NUMBER | 37722 | IA | 01 |
MIDLANDS CHOICE NUMBER | 232250 | IA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin