Individual
JULIA MARIE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6737 W WASHINGTON ST STE 2275, WEST ALLIS, WI 53214-5666
(414) 309-6190
(414) 246-2302
Mailing address
1065 PRIMROSE LN, FOND DU LAC, WI 54935-1800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6993-154
WI
235Z00000X
Speech-Language Pathologist
Primary
7480-154
WI
Other
Enumeration date
06/27/2026
Last updated
07/22/2026
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