Provider Demographics
NPI:1922014083
Name:TURNER, SUSAN CAMPBELL (MS)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:CAMPBELL
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:DAWN
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40330-0363
Mailing Address - Country:US
Mailing Address - Phone:859-865-4505
Mailing Address - Fax:859-865-1370
Practice Address - Street 1:352 S COLLEGE ST
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-1875
Practice Address - Country:US
Practice Address - Phone:859-613-8178
Practice Address - Fax:859-865-1370
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0012103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical