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Janae Russell, MCD, CCC-SLP

Speech-Language Pathologist, in Minden, LA. Individual provider (NPI-1).

NPI number1831869080
StatusActive
Last updated in NPPESSep 19, 2021

Details

NPI
1831869080
Entity type
Individual (NPI-1)
Name
Janae Russell
Credential
MCD, CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 19, 2021
Certification date
Sep 17, 2021
Last updated
Sep 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,–LAYes

Practice location

103 Emerald Dr Apt 214
Minden, LA 71055-2109

Phone 318-773-0285

Mailing address

103 Emerald Dr Apt 214
Minden, LA 71055-2109

Phone 318-773-0285

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