Individual provider · Type 1 NPI
Olivia Russell
Speech-Language Assistant · Thayer, MO
NPI number
1154199693
Active
Practice location
401 E Walnut St
Thayer, MO 65791-1533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
2 other providers at this address
About NPI 1154199693
Olivia Russell's National Provider Identifier is 1154199693, issued on Dec 14, 2023. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Thayer, MO. The record was last updated on Dec 14, 2023.