Deandra Russ, MS, CCC/SP
NPI #1831437060 in Campbellsville, Kentucky
Provider Information
- NPI Number
- 1831437060
- Entity Type
- Individual
- Name
- Deandra Russ, MS, CCC/SP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC/SP
- Enumeration Date
- Jan 23, 2013
- Last Updated
- Jan 23, 2013
Practice Location
- Address
- 121 CASEY ST STE A
- City
- Campbellsville
- State
- Kentucky
- ZIP Code
- 42718-6858
- Phone
- (270) 465-7768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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