Russell, David
Russell, David is an individual health care provider with primary practice located at 55 Lake Ave N Speech Language Pathology, Worcester MA 01655-0002. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Russell, David can be contacted via phone (508) 334-8700.Contact Information
Primary practice address
55 Lake Ave N Speech Language Pathology
Worcester MA 01655-0002
Phone: (508) 334-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1237SL | Massachusetts |
Profile Details
| NPI number | 1710021183 |
|---|---|
| LBN Legal business name | Russell, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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