Doctor Name: | MRS. ERIN E RUSSELL |
NPI Number: | 1578813960 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-CCC |
License Number: | SP#3773 |
Business Practice Address: | 304 Craig Dr Searcy, AR - 721433047 |
Business Phone Number: | 7193528626 |
Business Fax Number: | |
Mailing Address: | 304 Craig Drive, SEARCY |
State: | AR |
Postal Code: | 72143 |
Phone Number: | 7193528626 |
Fax Number: | 7193528626 |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 09/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#3773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |