Russo, Eileen
Russo, Eileen is an sole proprietor health care provider with primary practice located at 176 Main St Kennedy Donovan Center, Southbridge MA 01550-2561. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Russo, Eileen can be contacted via phone (508) 765-0292.Contact Information
Primary practice address
176 Main St Kennedy Donovan Center
Southbridge MA 01550-2561
Phone: (508) 765-0292
Fax: (508) 765-0294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3569 | Massachusetts |
Profile Details
| NPI number | 1851576417 |
|---|---|
| LBN Legal business name | Russo, Eileen |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2008 |
| Last updated | Jan 2nd, 2008 - about 18 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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