Provider Demographics
NPI:1922259209
Name:CAMPBELL, AARON MATTHEW (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:MATTHEW
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-2816
Mailing Address - Country:US
Mailing Address - Phone:405-732-0600
Mailing Address - Fax:
Practice Address - Street 1:1901 ARLINGTON ST
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-2816
Practice Address - Country:US
Practice Address - Phone:405-732-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK207231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist