Individual
NATALIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 RUE IBERVILLE, LAFAYETTE, LA 70508-3295
(337) 521-7000
Mailing address
112 BRIARMEADOW DR, LAFAYETTE, LA 70508-7210
(337) 258-0192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9842
LA
Other
Enumeration date
08/07/2025
Last updated
08/12/2025
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