Individual
TAYLOR CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86404-1177
(928) 854-5439
(928) 854-5440
Mailing address
3538 HEATHER AVE, KINGMAN, AZ 86401-3820
(928) 854-5439
(928) 854-5440
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10212
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819797
—
AZ
Enumeration date
12/09/2016
Last updated
12/09/2016
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