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Individual
SUZAN MARIE CAMPBELL
Active
Individual
SUZAN MARIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077279
BLUE LINK#
TX
01
—
100444
HUMANA ID #
TX
01
—
125017
SUPERIOR ID #
TN
01
—
86857T
BCBS PROVIDER #
TX
Enumeration date
12/07/2005
Last updated
10/17/2022
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