Individual
MRS. WENDY W CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 HERMITAGE DR, TULLAHOMA, TN 37388-6200
(931) 393-2151
(931) 461-0215
Mailing address
100 HERMITAGE DR, TULLAHOMA, TN 37388-6200
(931) 393-2151
(931) 461-0215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000002569
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4030553
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
03/31/2008
Last updated
03/31/2008
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