Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHUSHAN CAMPBELL, PH.D., LCP
Deactivated Sole ProprietorDR. SHUSHAN CAMPBELL, PH.D., LCP is a Clinical Psychologist healthcare provider located in FAIRFAX, Virginia. NPI 1265849822 is deactivated in the NPPES registry. Verify at CMS.
Clinical Psychologist · FAIRFAX, VA
This NPI has been deactivated.
The record was deactivated on March 27, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1265849822
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2014 (4.6958904109589 yrs)
- Last Updated
- Apr 8, 2020
- Deactivated
- Mar 27, 2019
- License
-
0810006451 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10521 ROSEHAVEN ST STE 100FAIRFAX, VA, 220302877Browse VA providers · Browse ZIP 22030
- Phone
- 7033523822
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DR. HARVEY ROY OAKLANDER | PH.D. | 1659377448 |
| DR. LEE RUBIN CHASE | PH.D. | 1861493520 |
| DR. J LAWRENCE JAMIESON | PH.D. | 1881695518 |
| DR. KERRY PAUL ALTMAN | PH.D. | 1255333944 |
| DR. CAROLE WARREN SEBENICK | PH.D. | 1215921143 |
| DR. DONNA MERLE YAFFE | — | 1033158050 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.