Individual
DR. BRIDGET ANNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD CCC-SLP
Contact information
Practice address
W132 THOMPSON HALL, SUNY FREDONIA, FREDONIA, NY 14063
(716) 673-4616
(716) 673-3235
Mailing address
103 NEWTON ST, FREDONIA, NY 14063-1303
(716) 673-4616
(716) 673-3235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008132-00
NY
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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