Individual
CYNTHIA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
213 PASEO DEL CANON E, TAOS, NM 87571-6239
(505) 758-5200
(505) 758-5292
Mailing address
24 FOL GRANDE NORTE, ARROYO SECO, NM 87514
(505) 776-0807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4178
NM
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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