Ryan Russell, MSSLP.CCC

NPI #1003931577 in Benton, Arkansas

Provider Information

NPI Number
1003931577
Entity Type
Individual
Name
Ryan Russell, MSSLP.CCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MSSLP.CCC
Enumeration Date
Mar 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6701 HIGHWAY 67
City
Benton
ZIP Code
72015-8909
Phone
(501) 860-0777

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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