| Mr Nicholas Brian Campbell, CCC-SLP | |
|
6746 Clayton Ave, Saint Louis, MO 63139-3756 | |
| (314) 645-4845 | |
| Not Available |
| Full Name | Mr Nicholas Brian Campbell |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 6746 Clayton Ave, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982958781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2012017953 (Missouri) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407487366 PECOS PAC ID: 2163339722 Enrollment ID: O20200327001604 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas Brian Campbell, CCC-SLP 6746 Clayton Ave, Saint Louis, MO 63139-3756 Ph: (314) 645-4845 | Mr Nicholas Brian Campbell, CCC-SLP 6746 Clayton Ave, Saint Louis, MO 63139-3756 Ph: (314) 645-4845 |
Rebecca Annice Hoyt, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 330 N Gore Ave, Saint Louis, MO 63119 Phone: 314-919-4700 | |
Maureen Mersman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8150 | |
Margaret Walkenhorst, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8150 | |
Ms. Maureen Elaine Neukirch, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Timber Run Dr, Saint Louis, MO 63146 Phone: 314-469-0606 Fax: 314-469-3294 | |
Rachel Kathleen Cardaci, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 N 11th St, Saint Louis, MO 63101 Phone: 314-633-5300 | |
Kristen Anne Ottenlips, MA CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8100 | |
Mariglenn Golden Boggs, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8100 |