Provider Demographics
NPI:1881604288
Name:CAMBPELL, CATHRYN P (MSW)
Entity type:Individual
Prefix:MS
First Name:CATHRYN
Middle Name:P
Last Name:CAMBPELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4941
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87196-4941
Mailing Address - Country:US
Mailing Address - Phone:505-232-2216
Mailing Address - Fax:505-232-2216
Practice Address - Street 1:9301 INDIAN SCHOOL RD NE
Practice Address - Street 2:SUITE 101B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2884
Practice Address - Country:US
Practice Address - Phone:505-232-2216
Practice Address - Fax:505-232-2216
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI41501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical