National Provider Identifier
Courtney Rae Russo, SPEECH LANGUAGE PATH
Courtney Rae Russo, SPEECH LANGUAGE PATH is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Dunkirk, NY and a listed phone number of (716) 366-9300.
Profile Overview
- NPI
- 1891912366
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- April 19, 2007
- Last Updated
- March 01, 2016
Practice Location
- 525 Eagle St
- Dunkirk, NY 14048-2415
Phone: (716) 366-9300
Mailing Address
- 11 Fairview Ave.
- Dunkirk, NY 14048
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1891912366
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Courtney
- Middle Name
- Rae
- Name Prefix
- Mrs.
- Credential
- SPEECH LANGUAGE PATH
- Mailing Street Address
- 11 Fairview Ave.
- Mailing City
- Dunkirk
- Mailing State
- NY
- Mailing ZIP Code
- 14048
- Mailing Country
- US
- Practice Street Address
- 525 Eagle St
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048-2415
- Practice Country
- US
- Practice Phone
- (716) 366-9300
- Enumeration Date
- April 19, 2007
- Last Updated
- March 01, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)