GINA PEASE RUSSEL

ANDERSON, IN
NPI1164722344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  433653)
Enumeration Date2010-10-22
Last Update Date2010-10-22
Business Address
Ms. GINA PEASE RUSSEL SLP
4610 MADISON AVE
ANDERSON, IN 46013-1316
Phone number: 765-641-2037
Mailing Address
Ms. GINA PEASE RUSSEL SLP
6110 KENZIE CT
INDIANAPOLIS, IN 46236-7321
Phone number: 317-902-7619