Individual provider · Type 1 NPI

Shushan Campbell, PhD, LCP

Clinical Psychologist · Fairfax, VA

NPI number 1265849822 Active · reactivated Apr 8, 2020

Practice location

10521 Rosehaven St Ste 100
Fairfax, VA 22030-2877

Mailing address

10521 Rosehaven St, Suite 100
Fairfax, VA 22030-2876

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810006451 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1265849822

Shushan Campbell, PhD, LCP's National Provider Identifier is 1265849822, issued on Jul 16, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fairfax, VA. The record was last updated on Apr 8, 2020.