Individual
MR. NICHOLAS BRIAN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
6746 CLAYTON AVE, SAINT LOUIS, MO 63139-3756
(314) 645-4845
Mailing address
6746 CLAYTON AVE, SAINT LOUIS, MO 63139-3756
(314) 645-4845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012017953
MO
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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