| Elisabeth Russell Slp, Llc | |
|
73 Curve St, Needham, MA 02492-1715 | |
| (860) 748-2472 | |
| Not Available |
| Full Name | Elisabeth Russell Slp, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 73 Curve St, Needham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073381307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Elisabeth Russell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508648346 PECOS PAC ID: 7315478757 Enrollment ID: I20241009001858 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Russell Slp, Llc 73 Curve St, Needham, MA 02492-1715 Ph: (860) 748-2472 | Elisabeth Russell Slp, Llc 73 Curve St, Needham, MA 02492-1715 Ph: (860) 748-2472 |
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