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Megan Anne Russian

Speech-Language Pathologist, in Miami, OK. Individual provider (NPI-1).

NPI number1194499731
StatusActive
Last updated in NPPESAug 6, 2021

Details

NPI
1194499731
Entity type
Individual (NPI-1)
Name
Megan Anne Russian
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2021
Certification date
Aug 6, 2021
Last updated
Aug 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

1227 N Main St
Miami, OK 74354-3322

Phone 918-542-6655

Mailing address

1227 N Main St
Miami, OK 74354-3322

Phone 918-542-6655

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Other Speech-Language Pathologist providers in Miami, OK

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