Provider Demographics
NPI:1700615432
Name:CAMPBELL, ROSALYN DENISE (PHD, LMSW)
Entity type:Individual
Prefix:DR
First Name:ROSALYN
Middle Name:DENISE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PHD, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 HOLCOMBE BLVD STE 1Y
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-2040
Mailing Address - Country:US
Mailing Address - Phone:713-440-4400
Mailing Address - Fax:
Practice Address - Street 1:2450 HOLCOMBE BLVD STE 1Y
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-2040
Practice Address - Country:US
Practice Address - Phone:713-440-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54385104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker