Russo, Jennifer Pert

Russo, Jennifer Pert is an individual health care provider with primary practice located at 39 Limerick Rd , Arundel ME 04046-8158. 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 Pert can be contacted via phone (207) 391-0331.

Contact Information

Primary practice address
39 Limerick Rd Arundel ME 04046-8158
Phone: (207) 391-0331
Fax: (207) 985-6703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP765 Maine

Profile Details

NPI number 1760528566
LBN Legal business name Russo, Jennifer Pert
Credentials MA CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Sep 8th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760528566 NPPES
Maine MEDICAID 252300099
Maine Other 100667

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