Doctor Name: | MRS. ANNE-MARIA RUSS |
NPI Number: | 1578682555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | 5464 |
Business Practice Address: | 4901 N Main St Fall River, MA - 027202080 |
Business Phone Number: | 5086751001 |
Business Fax Number: | |
Mailing Address: | 100 Highview Ave, SOMERSET |
State: | MA |
Postal Code: | 027263906 |
Phone Number: | 5086762110 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5464 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |