Provider Demographics
NPI:1437646817
Name:CAMPBELL, MEGHAN LINDSEY
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:LINDSEY
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:ANGLIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3901 WHITLAND AVE APT 21
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1944
Mailing Address - Country:US
Mailing Address - Phone:615-788-0353
Mailing Address - Fax:
Practice Address - Street 1:3901 WHITLAND AVE APT 21
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1944
Practice Address - Country:US
Practice Address - Phone:615-788-0353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst