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Contact Information

MICHELLE CAMPBELL, CCC-SLP, BCBA
255 ANGLERS RIDGE
BLUFF DALE, TX76433
 Phone: 817-408-8395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for MICHELLE CAMPBELL · (Female)

NPI Number 1063728558
Status Active
Credentials CCC-SLP, BCBA
Entity Individual
Enumeration date 08/23/2010
Last updated 03/02/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1-10-7216
  • TX License # 17279
  • TX Medicaid 214308301
  • TX Other 80S906 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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