| Doctor Name: | MISS BETHANY LEANN CAMPBELL |
| NPI Number: | 1811194855 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 22004374A |
| Business Practice Address: | 2200 W White River Blvd Muncie, IN - 473035242 |
| Business Phone Number: | 7652893341 |
| Business Fax Number: | |
| Mailing Address: | 713 E South F St, GAS CITY |
| State: | IN |
| Postal Code: | 469332045 |
| Phone Number: | 7655061764 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 07/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 22004374A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |