Provider Demographics
NPI:1295959013
Name:CAMPI, CECILIA ESTELA SR (SPEECH THERAPIST)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:ESTELA
Last Name:CAMPI
Suffix:SR
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9449 IMPERIAL HWY
Mailing Address - Street 2:GMO 3RD FLOOR PM AND R
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-2814
Mailing Address - Country:US
Mailing Address - Phone:562-657-4910
Mailing Address - Fax:562-657-2937
Practice Address - Street 1:9449 IMPERIAL HWY
Practice Address - Street 2:GMO 3RD FLOOR PM AND R
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2814
Practice Address - Country:US
Practice Address - Phone:562-657-4910
Practice Address - Fax:562-657-2937
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 9198235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist