Alisha M. Campbell, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Southaven, MS
NPI 1699271007 · NPPES record last updated Feb 19, 2020
Key facts
- NPI
- 1699271007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S3896 (MS)
- Practice address
- 6858 Swinnea Rd
Southaven, MS 38671-9493 - Phone
- (662) 772-5937
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| S3896 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby County Board of Education | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S3896 | MS | Yes |
Addresses
Primary practice location
6858 Swinnea Rd
Southaven, MS 38671-9493
Mailing address
7367 Southbranch Pkwy
Olive Branch, MS 38654-6922
Phone (662) 544-4383
Other practice location 1
111 Flossie Rd
Holly Springs, MS 38635-9597
Phone (662) 544-4383
Other providers in Southaven, MS
- Raymond Bennett Caldwell IV
- Melanie Calhoun
- Jorge I Calzada
- Christine Cameron
- Campbell Clinic PC
- Jazmine Campbell
- Tatiana D Campbell
- Abigail Elizabeth Cannon
- Kayla Jo Cantrell
- Sara Cardenas
All providers in Southaven, MS · Speech-Language Pathologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2020. 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.