MS. SHANE RUSSELL, MS CCC-SLP

Speech-Language Pathologist

Active Individual
NPI: 1548361850

Practice Address

247 SW LONG LEAF DR
Lake City, FL 32024

Phone: (386) 752-3274

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes SA7504 (FL)

Frequently Asked Questions

NPI 1548361850 is the National Provider Identifier for MS. SHANE RUSSELL, MS CCC-SLP, a Speech-Language Pathologist provider located in Lake City, FL. This NPI was enumerated on September 26, 2006.
MS. SHANE RUSSELL, MS CCC-SLP practices at 247 SW LONG LEAF DR, Lake City, FL 32024.

Quick Facts

NPI
1548361850
Type
Individual
Enumerated
Sep 26, 2006
Last Updated
Jul 9, 2007

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