Individual
BRETT ROUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2309 S SERVICE RD W, RUSTON, LA 71270-3167
(318) 232-1969
(318) 232-1970
Mailing address
2309 S SERVICE RD W, RUSTON, LA 71270-3167
(318) 232-1969
(318) 232-1970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7501
LA
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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