Individual
BRIANA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12030 SCRIPPS SUMMIT DR STE A, SAN DIEGO, CA 92131-4601
(619) 647-6157
Mailing address
12030 SCRIPPS SUMMIT DR STE A, SAN DIEGO, CA 92131-4601
(951) 491-3812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
35996
CA
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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