National Provider Identifier

Suzanne K Russell, M.S.CCC-SLP

Suzanne K Russell, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Clifton Springs, NY and a listed phone number of (315) 548-6420.

NPI 1528343522Clifton Springs, NYSpeech-Language Pathologist

Profile Overview

NPI
1528343522
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 21, 2011
Last Updated
October 21, 2011

Practice Location

  • 1490 State Route 488
  • Clifton Springs, NY 14432-9308

Phone: (315) 548-6420

Mailing Address

  • 3456 County Road 16
  • Canandaigua, NY 14424-2443

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1528343522
Entity Type
Individual
Last Name
Russell
First Name
Suzanne
Middle Name
K
Credential
M.S.CCC-SLP
Mailing Street Address
3456 County Road 16
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-2443
Mailing Country
US
Mailing Phone
(905) 585-0610
Practice Street Address
1490 State Route 488
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432-9308
Practice Country
US
Practice Phone
(315) 548-6420
Enumeration Date
October 21, 2011
Last Updated
October 21, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)