Active NPIIndividual providerSole proprietor

Eileen Russo, SLP

Speech-Language Pathologist, in Southbridge, Massachusetts

NPI Number1851576417
Practice location
176 Main St, Kennedy Donovan Center, Southbridge, MA 01550-2561
Fax
508-765-0294
Last updated
January 2, 2008

Eileen Russo is a Speech-Language Pathologist, based in Southbridge, MA. Eileen Russo practices in Southbridge, MA and has the professional credentials of SLP. The NPI Number for Eileen Russo is 1851576417 and holds a License No. 3569 (MA). The current practice location address for Eileen Russo is 176 Main St, Kennedy Donovan Center, Southbridge, MA 01550-2561 and can be reached out via phone at 508-765-0292 and via fax at 508-765-0294.

Provider Profile Details

NPI Number
1851576417
Provider Name
Eileen Russo
Credential
SLP
Provider Entity Type
Individual
Gender
Female
Address
176 Main St, Kennedy Donovan Center, Southbridge, MA 01550-2561
Phone Number
508-765-0292
Fax Number
508-765-0294
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2008
Last Update Date
January 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
176 Main St
Kennedy Donovan Center
Southbridge, MA 01550-2561
Zip
01550-2561
Phone Number
508-765-0292
Fax Number
508-765-0294
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
176 Main St
Kennedy Donovan Center
Southbridge, MA 01550-2561
City
Southbridge
State
MA
Zip
01550-2561
Phone Number
508-765-0292
Fax Number
508-765-0294

License Information

License Number
3569
License State
MA
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 Eileen Russo, SLP?

The NPI number of Eileen Russo, SLP is 1851576417. It was assigned on January 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Eileen Russo, SLP?

Eileen Russo, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 3569.

Where does Eileen Russo, SLP practice?

The practice location is 176 Main St, Kennedy Donovan Center, Southbridge, MA 01550-2561. The office can be reached at 508-765-0292 (phone) or 508-765-0294 (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 1851576417 directly on the NPPES registry website.

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