| Doctor Name: | KRISTEN L CAMPOS |
| NPI Number: | 1134416548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 36161 |
| Business Practice Address: | 1026 Avenida De Estrellas Rancho Viejo, TX - 785752701 |
| Business Phone Number: | 9566394146 |
| Business Fax Number: | |
| Mailing Address: | 1026 Avenida De Estrellas, RANCHO VIEJO |
| State: | TX |
| Postal Code: | 785752701 |
| Phone Number: | 9566394146 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2011 |
| NPI Last Update Date: | 12/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 36161 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |