NPI 1003160128
Scheresia Ren'Ee Russell, MEDCCCSLP
Practice location
- Address
- 105 Polly Ln, Lafayette, LA 70508-4925
- Phone
- (832) 206-6722
Registered specialties (2)
Speech-Language Pathologist
Primary
Speech-Language Pathologist
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.