1639455116 NPI number — MRS. TAMMY CARWILE CAMPBELL MA CCC-SLP

Table of content: (NPI 1104977115)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639455116 NPI number — MRS. TAMMY CARWILE CAMPBELL MA CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMPBELL
Provider First Name:
TAMMY
Provider Middle Name:
CARWILE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CAMPBELL
Provider Other First Name:
TAMMY
Provider Other Middle Name:
KAYE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA CCC-SLP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1639455116
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 QUEENS CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PANAMA CITY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32405-1910
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-747-1198
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
807 N TYNDALL PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CALLAWAY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32404-9495
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-866-1656
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  4576 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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