Individual
DR. DEBORAH REGISTRATO CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,CCC-SLP
Contact information
Practice address
315 NE 10TH AVE, CRYSTAL RIVER, FL 34429-4456
(352) 795-7006
(352) 795-7008
Mailing address
14 DRYPETES CT W, HOMOSASSA, FL 34446-4149
(352) 382-3364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA0003586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4900706
GHI
—
05
—
882546700
—
FL
01
—
S2007
BLUE CROSS OF FL
FL
Enumeration date
10/10/2005
Last updated
11/14/2022
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