Deborah J Campbell, MASLP
Individual provider Active NPI Speech-Language Pathologist · Ewing, KY
NPI 1154081883 · NPPES record last updated Dec 21, 2021
Key facts
- NPI
- 1154081883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 136803 (KY)
- Practice address
- 862 Cassidy Pike
Ewing, KY 41039-8498 - Phone
- (606) 748-1719
- NPI assigned
- Dec 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136803 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 136803 | KY | Yes |
Addresses
Primary practice location
862 Cassidy Pike
Ewing, KY 41039-8498
Mailing address
862 Cassidy Pike
Ewing, KY 41039-8498
Phone (606) 748-1719
Other providers in Ewing, KY
All providers in Ewing, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.