| Doctor Name: | MRS. COURTNEY RAE RUSSO |
| NPI Number: | 1891912366 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPEECH LANGUAGE PATH |
| License Number: | 016910-1 |
| Business Practice Address: | 525 Eagle St Dunkirk, NY - 140482415 |
| Business Phone Number: | 7163669300 |
| Business Fax Number: | |
| Mailing Address: | 11 Fairview Ave., DUNKIRK |
| State: | NY |
| Postal Code: | 14048 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 016910-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |