Doctor Name: | MISS MARY KATHRYN CAMPBELL |
NPI Number: | 1821348855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CFY-SLP |
License Number: | |
Business Practice Address: | 315 E Union Osceola, AR - 72370 |
Business Phone Number: | 8705631331 |
Business Fax Number: | |
Mailing Address: | 1220 Stone St, JONESBORO |
State: | AR |
Postal Code: | 724014519 |
Phone Number: | 8709331989 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2012 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |