National Provider Identifier
Bridget Anne Russell, PHD CCC-SLP
Bridget Anne Russell, PHD CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fredonia, NY and a listed phone number of (716) 673-4616.
Profile Overview
- NPI
- 1992843320
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- February 01, 2007
- Last Updated
- July 08, 2007
Practice Location
- W132 Thompson Hall
- Suny Fredonia
- Fredonia, NY 14063
Phone: (716) 673-4616
Mailing Address
- 103 Newton St
- Fredonia, NY 14063-1303
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1992843320
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Bridget
- Middle Name
- Anne
- Name Prefix
- Dr.
- Credential
- PHD CCC-SLP
- Mailing Street Address
- 103 Newton St
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1303
- Mailing Country
- US
- Mailing Phone
- (716) 673-4616
- Mailing Fax
- (716) 673-3235
- Practice Street Address
- W132 Thompson Hall
- Practice Address Line 2
- Suny Fredonia
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063
- Practice Country
- US
- Practice Phone
- (716) 673-4616
- Practice Fax
- (716) 673-3235
- Enumeration Date
- February 01, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)