Nicole L Campbell in Peoria - Speech-language Pathologist
Nicole L Campbell - NPI 1518979053
Nicole L Campbell is a Speech-language Pathologist in Peoria, Illinois. Nicole L Campbell practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Nicole L Campbell is 1518979053. The last update date is 2007-07-08.
Nicole L Campbell's current location address is 2001 W Willow Knolls Dr, Peoria, Illinois. You can contact this provider via phone number 3096899920 and fax number 3096899923. The mailing address for Nicole L Campbell is 2001 W Willow Knolls Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole L Campbell |
|---|---|
| Address | 2001 W Willow Knolls Dr, Peoria, Illinois |
| Phone Number | 3096899920 |
| Fax Number | 3096899923 |
| Sole Proprietor | N |
| Credentials | MS, CCC-SL |
NPI Number Detail
| NPI Number | 1518979053 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2001 W Willow Knolls Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616141290 |
| Phone Number | 3096899920 |
| Fax Number | 3096899923 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7215148 | IL | IL BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Nicole L Campbell by the Centers for Medicare & Medicaid Services?
The Nicole L Campbell has been issued the NPI (National Provider Identifier) 1518979053 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Nicole L Campbell?
The Nicole L Campbell is physically situated at 2001 W Willow Knolls Dr, in the city of Peoria, state of IL, with the postal code 616141290.
What is Nicole L Campbell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nicole L Campbell is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518979053 to Nicole L Campbell?
The Centers for Medicare & Medicaid Services originally issued the 1518979053 to Nicole L Campbell on 2006-08-13.
As of what date were the Nicole L Campbell's details last updated?
The information pertaining to the Nicole L Campbell, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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