Active NPIIndividual provider

Sara Russell, CCC SLP

Speech-Language Pathologist, in Worcester, Massachusetts

NPI Number1376517383
Practice location
135 Gold Star Blvd, Worcester, MA 01606
Fax
508-853-1907
Last updated
February 25, 2009

Sara Russell is a Speech-Language Pathologist, based in Worcester, MA. Sara Russell practices in Worcester, MA and has the professional credentials of CCC SLP. The NPI Number for Sara Russell is 1376517383 and holds a License No. 6577 (MD). The current practice location address for Sara Russell is 135 Gold Star Blvd, Worcester, MA 01606 and can be reached out via phone at 508-852-0600 and via fax at 508-853-1907.

Provider Profile Details

NPI Number
1376517383
Provider Name
Sara Russell
Credential
CCC SLP
Provider Entity Type
Individual
Gender
Female
Address
135 Gold Star Blvd, Worcester, MA 01606
Phone Number
508-852-0600
Fax Number
508-853-1907
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
February 15, 2006
Last Update Date
February 25, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 Gold Star Blvd
Worcester, MA 01606
Zip
01606
Phone Number
508-852-0600
Fax Number
508-853-1907
Worcester, MA 01606Get directions →

Provider Business Mailing Address Details

Address
630 Plantation St
Worcester, MA 01605
City
Worcester
State
MA
Zip
01605
Phone Number
508-852-0600
Fax Number
508-853-1907

License Information

License Number
6577
License State
MD
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sara Russell, CCC SLP?

The NPI number of Sara Russell, CCC SLP is 1376517383. It was assigned on February 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Sara Russell, CCC SLP?

Sara Russell, CCC SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MD under license number 6577.

Where does Sara Russell, CCC SLP practice?

The practice location is 135 Gold Star Blvd, Worcester, MA 01606. The office can be reached at 508-852-0600 (phone) or 508-853-1907 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376517383 directly on the NPPES registry website.

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