Campbell, Taylor

Campbell, Taylor is an individual health care provider with primary practice located at 1515 Lake Havasu Ave N , Lake Havasu City AZ 86404-1177. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Campbell, Taylor can be contacted via phone (928) 854-5439.

Contact Information

Primary practice address
1515 Lake Havasu Ave N Lake Havasu City AZ 86404-1177
Phone: (928) 854-5439
Fax: (928) 854-5440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA10212 Arizona

Profile Details

NPI number 1760926786
LBN Legal business name Campbell, Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2016
Last updated Dec 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760926786 NPPES
Arizona MEDICAID 819797

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