Provider Demographics
NPI:1477745032
Name:CAMPBELL, JIHYUN LEE (MT-BC)
Entity Type:Individual
Prefix:MS
First Name:JIHYUN
Middle Name:LEE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N RURAL RD
Mailing Address - Street 2:APT 1015
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-6086
Mailing Address - Country:US
Mailing Address - Phone:480-363-8903
Mailing Address - Fax:
Practice Address - Street 1:900 N RURAL RD
Practice Address - Street 2:APT 1015
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-6086
Practice Address - Country:US
Practice Address - Phone:480-363-8903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist