Nicole Z Russo, CCC-SLP

NPI #1710921234 in Groveland, Florida

Provider Information

NPI Number
1710921234
Entity Type
Individual
Name
Nicole Z Russo, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC-SLP
Enumeration Date
Jun 15, 2006
Last Updated
Nov 27, 2017

Practice Location

Address
577 BLUE CYPRESS DR
State
Florida
ZIP Code
34736-8111
Phone
(843) 655-2665

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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