Jennifer Carol Russell, M.A, CCC-SLP
NPI #1467691931 in Shelton, Washington
Provider Information
- NPI Number
- 1467691931
- Entity Type
- Individual
- Name
- Jennifer Carol Russell, M.A, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A, CCC-SLP
- Enumeration Date
- Feb 6, 2009
- Last Updated
- Feb 6, 2009
Practice Location
- Address
- 121 BAY RIDGE CT
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-3608
- Phone
- (360) 463-0455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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