Campbell, Letha

Campbell, Letha is an sole proprietor health care provider with primary practice located at 5016 Grist Mill Dr , Villa Rica GA 30180-5401. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Campbell, Letha can be contacted via phone (770) 783-9498.

Contact Information

Primary practice address
5016 Grist Mill Dr Villa Rica GA 30180-5401
Phone: (770) 783-9498
Fax: (877) 977-9552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP006046 Georgia

Profile Details

NPI number 1487710588
LBN Legal business name Campbell, Letha
Credentials M.ED., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2006
Last updated Feb 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487710588 NPPES
Georgia Other 571152749 BCBS
Georgia Other 571152749 BCBS
Georgia Other 786634130A BCBS
Georgia Other 571152749 BCBS
Georgia Other 571152749 BCBS
Georgia Other 100842 BCBS
Georgia MEDICAID 786634130A BCBS
Georgia Other 867779344A BCBS
Georgia MEDICAID 786634130F BCBS

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