Provider Demographics
NPI:1902922271
Name:FELTS CAMPBELL, CHRISTY (SLP)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:FELTS CAMPBELL
Suffix:
Gender:
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 COLUMBIA HILLS TRL
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6505
Mailing Address - Country:US
Mailing Address - Phone:501-276-2498
Mailing Address - Fax:
Practice Address - Street 1:347 COLUMBIA HILLS TRL
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6505
Practice Address - Country:US
Practice Address - Phone:501-276-2498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1507235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARSP# 1507OtherSLP LICENSE