person
Mr. Terence P Russell, MA
Assistive Technology Supplier Audiologist in Santa Cruz, California
NPI 1588702773

Terence P Russell is an Assistive Technology Supplier Audiologist based in Santa Cruz, CA and is specialized in Assistive Technology Supplier. Terence P Russell practices in Santa Cruz, CA and has the professional credentials of MA. The NPI Number for Terence P Russell is 1588702773 and holds a License No. AU610 (California).

The current practice location address for Terence P Russell is 550 Water St Ste A, Santa Cruz, CA and can be reached out via phone at 831-462-8260 and via fax at 831-462-8262.

Location: 550 Water St Ste A, Santa Cruz, CA, 95060-4126
person
Provider Profile Details
NPI Number
1588702773
Provider Name
Terence P Russell
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
550 Water St Ste A, Santa Cruz, CA, 95060-4126
Phone Number
831-462-8260
Fax Number
831-462-8262
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HA1037 01 CA HEARING AID DISPENSER
AU610 01 CA CALIFORNIA AUDIOLOGY LICE
institution
Provider Business Practice Location Address Details
Address
550 Water St Ste A
City
State
Zip
95060-4126
Phone Number
831-462-8260
Fax Number
831-462-8262
person
Provider Business Mailing Address Details
Address
550 Water St Ste A
City
State
Zip
95060-4126
Phone Number
831-462-8260
Fax Number
831-462-8262
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist
Speciality
Assistive Technology Supplier
Taxonomy
License No.
AU610 (California)
Definition
Definition to come...
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