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
Fax: (508) 765-0294
Website:

Health care specialties

SpecialtyCodeLicense #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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