Provider Demographics
NPI:1861720195
Name:CAMPBELL, ELIZABETH LEANNA (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LEANNA
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:LEANNA
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LP
Mailing Address - Street 1:7512 E 7TH LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-7002
Mailing Address - Country:US
Mailing Address - Phone:509-777-4952
Mailing Address - Fax:
Practice Address - Street 1:3101 EAST BOONE AVENUE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202
Practice Address - Country:US
Practice Address - Phone:509-934-0178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60917491106H00000X
WAPY60304131103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist