Doctor Name: | MRS. DEBORAH MARIE CAMPBELL |
NPI Number: | 1740278142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCCSLP |
License Number: | SA0003586 |
Business Practice Address: | 315 Ne 10th Ave Crystal River, FL - 344294456 |
Business Phone Number: | 3527957006 |
Business Fax Number: | 3527957008 |
Mailing Address: | 14 Drypetes Ct W, HOMOSASSA |
State: | FL |
Postal Code: | 344464149 |
Phone Number: | 3523823364 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA0003586 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |