Shanese Campbell, CCC-SLP is a
Speech-language Pathologist based in West Park, Florida. Shanese Campbell is licensed to practice in Florida (license number SA20870) and her current practice location is
4008 Sw 27th St, West Park, Florida. She can be reached at her office (for appointments etc.) via phone at
(954) 864-4511.
NPI number for Shanese Campbell is 1124745617 and her current mailing address is 4008 Sw 27th St, West Park, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124745617.
Healthcare Provider's Profile
Full Name | Shanese Campbell |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 4008 Sw 27th St, West Park, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124745617
- Provider Enumeration Date: 10/25/2022
- Last Update Date: 10/25/2022
Medical Identifiers
Medical identifiers for Shanese Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124745617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SA20870 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanese Campbell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shanese Campbell, CCC-SLP 4008 Sw 27th St, West Park, FL 33023-4468 Ph: (954) 864-4511 | Shanese Campbell, CCC-SLP 4008 Sw 27th St, West Park, FL 33023-4468 Ph: (954) 864-4511 |
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