Individual
SOFIA CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6150 GATEWAY DR, INDIANAPOLIS, IN 46254-2812
(317) 226-4109
Mailing address
6154 COMPTON ST APT A, INDIANAPOLIS, IN 46220-2986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008886A
IN
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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