| Ms Shane Renee Russell, MS CCC-SLP | |
|
247 Sw Long Leaf Dr, Lake City, FL 32024-4241 | |
| (386) 752-3274 | |
| Not Available |
| Full Name | Ms Shane Renee Russell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 247 Sw Long Leaf Dr, Lake City, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548361850 | NPI | - | NPPES |
| 89142810000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA7504 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shane Renee Russell, MS CCC-SLP 247 Sw Long Leaf Dr, Lake City, FL 32024-4241 Ph: (386) 752-3274 | Ms Shane Renee Russell, MS CCC-SLP 247 Sw Long Leaf Dr, Lake City, FL 32024-4241 Ph: (386) 752-3274 |
Brandlynn Nelson, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 164 Nw Madison St, Lake City, FL 32055 Phone: 386-758-1811 | |
Mrs. Francine R Wilkerson, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Sw Woodleaf Ct, Lake City, FL 32024 Phone: 386-984-5262 | |
Mr. Jean Denis Saintvil, SPEECH THERAPIST-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 587 Se Ermine Ave, Lake City, FL 32025 Phone: 386-752-7800 | |
Mrs. Jeannette H. Runyon, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 | |
Scarlette Phommathep, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 229 Sw Main Blvd, Lake City, FL 32025 Phone: 386-515-3009 | |
Mrs. Sheila Widergren, M.S. CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 298 Nw Country Lake Gln, Lake City, FL 32055 Phone: 386-758-8322 | |
Mrs. Alecia Croft, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 786 Se Peacock Ter, Lake City, FL 32025 Phone: 386-623-0276 |