Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LETHA CAMPBELL
Active
Individual
LETHA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006046
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100842
TRADING PARTNER
GA
01
—
571152749
BCBS
GA
01
—
786634130A
PEACHSTATE
GA
05
—
786634130A
—
GA
05
—
786634130F
—
GA
01
—
867779344A
PAYEE ID
GA
Enumeration date
12/31/2006
Last updated
02/20/2015
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