Shada Marie Campbell, M.S.

Speech-Language Pathologist, in Saint Paul, MN. Individual provider (NPI-1).

NPI number1750831673

StatusActive

Last updated in NPPESOct 4, 2016

Details

NPI: 1750831673
Entity type: Individual (NPI-1)
Name: Mrs. Shada Marie Campbell
Credential: M.S.
Sex: Female
Sole proprietor: Yes
Enumeration date: Oct 4, 2016
Last updated: Oct 4, 2016

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
235Z00000X	Speech-Language Pathologist,	9226	MN	Yes

Practice location

1456 Holton St
Saint Paul, MN 55108-2324

Phone 949-466-2287

Mailing address

1456 Holton St
Saint Paul, MN 55108-2324

Phone 949-466-2287

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist providers in Saint Paul, MN

All 237 Speech-Language Pathologist providers in Saint Paul · All 12,912 providers in Saint Paul

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