Individual
KRISTIN KAE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
540 ABERTHAW AVE, NEWPORT NEWS, VA 23601-4103
(757) 595-1946
Mailing address
540 ABERTHAW AVE, NEWPORT NEWS, VA 23601-4103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007021
VA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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