Susan M. Russell, M.A.,C.C.C.

NPI #1194733618 in Tulsa, Oklahoma

Provider Information

NPI Number
1194733618
Entity Type
Individual
Name
Susan M. Russell, M.A.,C.C.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.A.,C.C.C.
Enumeration Date
Aug 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
10749 E 29TH PL
City
Tulsa
ZIP Code
74129-7805
Phone
(918) 663-7832

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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