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SANDRA CAMPBELL PHD

Clinical Neuropsychologist

Brattleboro, Vermont

Provider NPI: 1427039866

Provider Information:
 SANDRA  CAMPBELL PHD
Gender: F
Not Sole Proprietor

Practice Location:
ANNA MARSH LANE  BRATTLEBORO, VT 05302 US
Tel: 802-257-7785  Fax: --

Business Mailing Address:
ANNA MARSH LANE  BRATTLEBORO, VT 05302 US
Tel: 802-257-7785  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
VT048-0000411
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
VT048-0000411

Other Provider Identifiers:

IssuerNumberStateType
1003256VT05
VN0235VT04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS VT - Page 1



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