MS. Gina Pease Russel, SLP

NPI #1164722344 in Anderson, Indiana

Provider Information

NPI Number
1164722344
Entity Type
Individual
Name
MS. Gina Pease Russel, SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
SLP
Enumeration Date
Oct 22, 2010
Last Updated
Oct 22, 2010

Practice Location

Address
4610 MADISON AVE
State
Indiana
ZIP Code
46013-1316
Phone
(765) 641-2037

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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