MEDICARE: MELINDA CLAIRE CAMPBELL MA, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	10480	MD
2	235Z00000X	Speech-Language Pathologist	S5287	MS
3	235Z00000X	Speech-Language Pathologist	4409	TN
4	235Z00000X	Speech-Language Pathologist	SP41386	CA

General Provider Information

NPI Number	:	1407482904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA CLAIRE CAMPBELL MA, CCC-SLP

Provider Business Mailing Address
First Line	:	1201 CANNON LN
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-6146
Country	:	US
Telephone Number	:	615-714-3455
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 CANNON LN
Second Line	:
City	:	MOUNT JULIET
State	:	TN
Zip	:	37122-6146
Country	:	US
Telephone Number	:	615-714-3455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2020
Last Update Date	:	05/26/2026

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Directions to “ MELINDA CLAIRE CAMPBELL MA, CCC-SLP” Practice Location

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