Provider Demographics
NPI:1417938259
Name:CAMPBELL, LAURALEE FAULHABER (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAURALEE
Middle Name:FAULHABER
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2109 W SPRING CREEK PKWY
Mailing Address - Street 2:#200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4189
Mailing Address - Country:US
Mailing Address - Phone:972-964-7073
Mailing Address - Fax:973-943-3441
Practice Address - Street 1:2109 W SPRING CREEK PKWY
Practice Address - Street 2:#200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4189
Practice Address - Country:US
Practice Address - Phone:972-964-7073
Practice Address - Fax:973-943-3441
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10395235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist