Provider Demographics
NPI:1306072517
Name:CAMPBELL, ADRIAN ALEXIS (SLP)
Entity type:Individual
Prefix:MRS
First Name:ADRIAN
Middle Name:ALEXIS
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 ESTABROOK WAY
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8087
Mailing Address - Country:US
Mailing Address - Phone:303-494-2120
Mailing Address - Fax:
Practice Address - Street 1:1836 ESTABROOK WAY
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-8087
Practice Address - Country:US
Practice Address - Phone:303-494-2120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist