NPI 1003931577

Ryan Russell, MSSLPCCC

Practitioner Speech-Language Pathologist Benton, AR

Practice location

Address: 6701 Highway 67, Benton, AR 72015-8909
Phone: (501) 860-0777
Mailing address: 1125 Charlsea Ln, Benton, AR 72015-2390

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP #2073 (AR)

Other Speech-Language Pathologist providers in Arkansas →

Registry record

NPI: 1003931577
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2007
Record last updated: 8 Jul 2007

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.