Provider Demographics
NPI:1871764274
Name:CAMPBELL, ALLISON STONE (AUD CCC A)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:STONE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:AUD CCC A
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD CCC A
Mailing Address - Street 1:PO BOX 4869
Mailing Address - Street 2:DEPARTMENT 594
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4869
Mailing Address - Country:US
Mailing Address - Phone:281-606-3100
Mailing Address - Fax:281-606-3102
Practice Address - Street 1:2950 CULLEN BLVD
Practice Address - Street 2:STE 202
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3832
Practice Address - Country:US
Practice Address - Phone:281-606-3100
Practice Address - Fax:281-606-3102
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80065231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter