National Provider Identifier

Diana Kay Russell, SLP

Diana Kay Russell, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 225-4552.

NPI 1881989028Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1881989028
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 16, 2011
Last Updated
June 16, 2011

Practice Location

  • 198 Mill Hollow Xing
  • Rochester, NY 14626-1084

Phone: (585) 225-4552

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1881989028
Entity Type
Individual
Last Name
Russell
First Name
Diana
Middle Name
Kay
Name Prefix
Mrs.
Credential
SLP
Mailing Street Address
198 Mill Hollow Xing
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-1084
Mailing Country
US
Mailing Phone
(585) 225-4552
Practice Street Address
198 Mill Hollow Xing
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-1084
Practice Country
US
Practice Phone
(585) 225-4552
Enumeration Date
June 16, 2011
Last Updated
June 16, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
12014358 (NY, Nys License Number012359-1)