Individual
MS. SCHERESIA REN'EE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
105 POLLY LN, LAFAYETTE, LA 70508-4925
(832) 206-6722
Mailing address
105 POLLY LN, LAFAYETTE, LA 70508-4925
(832) 206-6722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
110143
TX
235Z00000X
Speech-Language Pathologist
Primary
8650
LA
Other
Enumeration date
10/29/2012
Last updated
08/17/2020
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