Doctor Name: | MICHELLE CAMPBELL |
NPI Number: | 1164794723 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0000004645 |
Business Practice Address: | 161 Hatcher Ln Clarksville, TN - 370435987 |
Business Phone Number: | 9315422168 |
Business Fax Number: | |
Mailing Address: | 3869 Marla Cir, CLARKSVILLE |
State: | TN |
Postal Code: | 370427237 |
Phone Number: | 9319200381 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2012 |
NPI Last Update Date: | 01/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000004645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |