Individual
LAUREN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 POST RD, DARIEN, CT 06820-3631
(203) 240-0249
Mailing address
5 ROLAND AVE, NORWALK, CT 06855-2507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005417
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14099671
ASHA
—
Enumeration date
01/24/2021
Last updated
01/24/2021
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