Individual
PHOEBE ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CUMMINGS CTR, BEVERLY, MA 01915-6115
(978) 921-1182
Mailing address
493 E BROADWAY STE 2, SOUTH BOSTON, MA 02127-4451
(203) 583-6078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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