| Doctor Name: | MS. SCHERESIA REN'EE RUSSELL |
| NPI Number: | 1003160128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED., SLPA |
| License Number: | 31964 |
| Business Practice Address: | 5313 Decker Dr Baytown, TX - 775201413 |
| Business Phone Number: | 2818384477 |
| Business Fax Number: | 2818384481 |
| Mailing Address: | 10842 Shannon Mills Ln, HOUSTON |
| State: | TX |
| Postal Code: | 770754856 |
| Phone Number: | 8322219776 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2012 |
| NPI Last Update Date: | 10/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 31964 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |