Deandra Russ, MS, CCC/SP

Speech-Language Pathologist · Campbellsville, KY

Individual Active NPI

NPI number 1831437060

Practice location

121 Casey St Ste a
Campbellsville, KY 42718-6858
Phone
(270) 465-7768
Fax
(270) 465-0068

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NPI record

NPI
1831437060
Entity type
Individual (Type 1)
Enumeration date
January 23, 2013
Last updated
January 23, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 12087 KY

Mailing address

620 W Ashland Ave
Louisville, KY 40215-2402
Phone
(606) 547-5561
Fax
(270) 465-0068

About Deandra Russ

Deandra Russ, MS, CCC/SP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 121 Casey St Ste a, Campbellsville, KY 42718-6858. The NPI number 1831437060 was assigned on January 23, 2013 and the record was last updated on January 23, 2013.

Deandra Russ lists a license in the registry: #12087 (KY) 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 Deandra Russ, MS, CCC/SP?

The NPI number is 1831437060.

What is the phone number of Deandra Russ?

The phone number listed for the practice location is (270) 465-7768.

Where is Deandra Russ located?

121 Casey St Ste a, Campbellsville, KY 42718-6858.

What is the taxonomy code for Deandra Russ?

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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