Doctor Name: | ALYSSA RUTH CAMPBELL |
NPI Number: | 1396181293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 106629 |
Business Practice Address: | 2100 Sam Houston Ave Suite D Huntsville, TX - 773405182 |
Business Phone Number: | 9362938800 |
Business Fax Number: | 9362938841 |
Mailing Address: | 18484 Preston Rd, Suite 102 Pmb 156 DALLAS |
State: | TX |
Postal Code: | 752525400 |
Phone Number: | 9362938800 |
Fax Number: | 9362938841 |
NPI Enumeration Date: | 05/17/2013 |
NPI Last Update Date: | 05/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |