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Individual

ALYSSA JOY RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2181 AMBLESIDE DR, CLEVELAND, OH 44106-4645
(216) 532-1350
Mailing address
4404 MAPLETON ST, JAMESTOWN, PA 16134-3662
(724) 974-9509

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL014916
PA
235Z00000X
Speech-Language Pathologist
Primary
SP.13995
OH

Other

Enumeration date
02/18/2021
Last updated
02/18/2021
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