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Dr. Russell Tennyson Toll, PHD
Speech/Language/Hearing Specialist/Technologist in Southlake, Texas
NPI 1356053565

Russell Tennyson Toll is a Speech/Language/Hearing Specialist/Technologist based in Southlake, TX. Russell Tennyson Toll practices in Southlake, TX and has the professional credentials of PHD. The NPI Number for Russell Tennyson Toll is 1356053565 and holds a License No. (Texas).

The current practice location address for Russell Tennyson Toll is 771 E Southlake Blvd Ste 222, Southlake, TX and can be reached out via phone at 817-888-6974.

Location: 771 E Southlake Blvd Ste 222, Southlake, TX, 76092-7065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356053565
Provider Name
Russell Tennyson Toll
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
771 E Southlake Blvd Ste 222, Southlake, TX, 76092-7065
Phone Number
817-888-6974
Fax Number
Provider Enumeration Date
12/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
771 E Southlake Blvd Ste 222
City
Southlake
State
Texas
Zip
76092-7065
Phone Number
817-888-6974
Fax Number
person
Provider Business Mailing Address Details
Address
771 E Southlake Blvd Ste 222
City
Southlake
State
Texas
Zip
76092-7065
Phone Number
817-888-6974
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
235500000X
License No.
()
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Biomedical Engineering
Taxonomy
246ZB0301X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
EEG
Taxonomy
246ZE0500X
License No.
()
Definition
Definition to come...
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