Doctor Name: | SIMONE AKEELA CAMPBELL |
NPI Number: | 1780021949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA8310 |
Business Practice Address: | 4511 Sw 48th Ave Ocala, FL - 344749626 |
Business Phone Number: | 8662361808 |
Business Fax Number: | 8662361808 |
Mailing Address: | 5510 Sw 41st Blvd, Suite 202 GAINESVILLE |
State: | FL |
Postal Code: | 326084977 |
Phone Number: | 8882978326 |
Fax Number: | 8885037832 |
NPI Enumeration Date: | 05/29/2013 |
NPI Last Update Date: | 05/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA8310 |
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 |