Whalio Doctors

NPI 1003160128

Scheresia Ren'Ee Russell, MEDCCCSLP

Practitioner Speech-Language Pathologist Lafayette, LA

Practice location

Address
105 Polly Ln, Lafayette, LA 70508-4925
Phone
(832) 206-6722

Registered specialties (2)

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 8650 (LA)
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 110143 (TX)

Registry record

NPI
1003160128
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Oct 2012
Record last updated
17 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.