Russo, Jennifer M.

Russo, Jennifer M. is an individual health care provider with primary practice located at 267 Grant St , Bridgeport CT 06610-2805. 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, Jennifer M. can be contacted via phone (203) 384-3000.

Contact Information

Primary practice address
267 Grant St Bridgeport CT 06610-2805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 003894 Connecticut

Profile Details

NPI number 1932397759
LBN Legal business name Russo, Jennifer M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated Oct 5th, 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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