Alicia Campbell, MCD CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114252 Issued in TX

Practice address

723 Johns Rd
Boerne, TX 78006-3230

Phone

(830) 357-4328

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1023746492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 TIMBER VIEW DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780067852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 JOHNS RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063230",
            "telephone_number": "830-357-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ALICIA",
        "credential": "MCD CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Calaway, LPC
• Jennifer Calder
• Jessica Calderon, M.A., LPC
• Keith Dayrl Caldwell, PA
• Brent J. Callegari, DENTIST
• Rebekah Campbell, PT, DPT
• Kathryn Eck Camplen, WHNP/CNM
• Campos Family Dental, P.C.
• John Thomas Camyre Jr.
• Cancer Care Network of So TX - Boerne

• Speech-Language Pathologist in Boerne, TX
• Providers in Boerne, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.