| NPI | 1205527496 |
|---|---|
| Doing Business As | RUSSELL SPEECH THERAPY |
| Entity Type | Organization |
| Authorized Contact | MEGAN RUSSELL Speech Language Pathologist 515-971-4588 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |