| Doctor Name: | REBECCA AMBER CROWE RUSSELL |
| NPI Number: | 1285893354 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. , CCC-SLP |
| License Number: | 4110 |
| Business Practice Address: | 13721 Heritage Dr Laurinburg, NC - 283529185 |
| Business Phone Number: | 9102068228 |
| Business Fax Number: | |
| Mailing Address: | 13721 Heritage Drive, LAURINBURG |
| State: | NC |
| Postal Code: | 28352 |
| Phone Number: | 9102068228 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2008 |
| NPI Last Update Date: | 12/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 4110 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |