Individual
JENNIFER RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6211
Mailing address
155 PLUM CREEK RD, SUNBURY, PA 17801-6063
(570) 847-3825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL018658
PA
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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