Provider Demographics
NPI:1124688528
Name:CAMPBELL DOSS, ALLISON RUTH (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:RUTH
Last Name:CAMPBELL DOSS
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:359 COMMONWEALTH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24201-3867
Mailing Address - Country:US
Mailing Address - Phone:276-759-2917
Mailing Address - Fax:276-669-2950
Practice Address - Street 1:2603 OSBORNE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24201-2326
Practice Address - Country:US
Practice Address - Phone:276-669-6331
Practice Address - Fax:276-669-2950
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist