Mona Russo, M.S., CCC-SLP

Speech-Language Pathologist · Corte Madera, CA

Individual Active NPI

NPI number 1063959088

Practice location

112 Walnut Ave
Corte Madera, CA 94925-1031
Phone
(415) 509-3786

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NPI record

NPI
1063959088
Entity type
Individual (Type 1)
Enumeration date
January 28, 2017
Last updated
January 28, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 23837 CA

About Mona Russo

Mona Russo, M.S., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 112 Walnut Ave, Corte Madera, CA 94925-1031. The NPI number 1063959088 was assigned on January 28, 2017 and the record was last updated on January 28, 2017.

Mona Russo lists a license in the registry: #23837 (CA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mona Russo, M.S., CCC-SLP?

The NPI number is 1063959088.

What is the phone number of Mona Russo?

The phone number listed for the practice location is (415) 509-3786.

Where is Mona Russo located?

112 Walnut Ave, Corte Madera, CA 94925-1031.

What is the taxonomy code for Mona Russo?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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