Doctor Name: | MR. BRIAN PETER CAMPBELL |
NPI Number: | 1487952487 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA CCC/SLP |
License Number: | SP1427 |
Business Practice Address: | 145 Kalers Corner St Waldoboro, ME - 045726001 |
Business Phone Number: | 2078322103 |
Business Fax Number: | |
Mailing Address: | 145 Kalers Corner St, WALDOBORO |
State: | ME |
Postal Code: | 045726001 |
Phone Number: | 2078322103 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2011 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1427 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |