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NPI Code Detail

MEDICARE: ERIKA RENEE CAMPA SLP

MEDICARE:   ERIKA RENEE CAMPA  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
1235Z00000XSpeech-Language Pathologist34906TX
2235Z00000XSpeech-Language Pathologist105797TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518276724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA RENEE CAMPA SLP
Provider Business Mailing Address
First Line : 12423 GARRETT CRK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-6080
Country : US
Telephone Number : 231-360-0158
Fax Number :
Provider Business Practice Location Address
First Line : 5900 EVERS RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1606
Country : US
Telephone Number : 210-398-0236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2010
Last Update Date : 02/22/2022

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Directions to “ ERIKA RENEE CAMPA SLP” Practice Location

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