Provider Demographics
NPI:1033514310
Name:MCCAMPBELL, DEYLYNE BRUCE SR
Entity Type:Individual
Prefix:DR
First Name:DEYLYNE
Middle Name:BRUCE
Last Name:MCCAMPBELL
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9345 DRAGON TREE DR
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92344-4680
Mailing Address - Country:US
Mailing Address - Phone:760-948-9930
Mailing Address - Fax:
Practice Address - Street 1:9345 DRAGON TREE DR
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92344-4680
Practice Address - Country:US
Practice Address - Phone:760-948-9930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional