Debra Sue Campos, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Hagerman, NM
NPI 1326111436 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1326111436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1547 (NM)
- Practice address
- 300 N Cambridge
Hagerman Schools
Hagerman, NM 88232 - Phone
- (505) 752-3279
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1547 | NM | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1547 | NM | Yes |
Addresses
Primary practice location
300 N Cambridge
Hagerman Schools
Hagerman, NM 88232
Mailing address
11 Huerta CT
Roswell
Roswell, NM 88201
Phone (505) 623-8171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69736 | Medicaid | NM |
Other providers in Hagerman, NM
- Ytzel Barrientos Gonzalez
- Jessica Bundy
- Katelyn Gray
- Cindy Henson
- Katelyn Johnson
- Laura Lorraine Orozco
- Carolyn Marie Owens I
All providers in Hagerman, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.