NPI 1164722344

Gina Pease Russel, SLP

Practitioner Speech-Language Pathologist Anderson, IN

Practice location

Address: 4610 Madison Ave, Anderson, IN 46013-1316
Phone: (765) 641-2037
Fax: (765) 641-2041
Mailing address: 6110 Kenzie CT, Indianapolis, IN 46236-7321

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 433653 (IN)

Other Speech-Language Pathologist providers in Indiana →

Registry record

NPI: 1164722344
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2010
Record last updated: 22 Oct 2010

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.