Individual
MRS. ERIN E RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
304 CRAIG DR, SEARCY, AR 72143-3047
(719) 352-8626
Mailing address
304 CRAIG DRIVE, SEARCY, AR 72143
(719) 352-8626
(719) 352-8626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#3773
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111408402
—
TX
Enumeration date
09/13/2012
Last updated
09/28/2015
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