Keliesha A Russell, CCLS
Developmental Therapist in South Hadley, Massachusetts
1952738130- Practice location
- 30 Old Lyman RD, South Hadley, MA 01075-2630
- Phone
- 413-533-7140
- Fax
- —
- Last updated
- October 2, 2013
Keliesha Ayannah Russell is a Developmental Therapist based in South Hadley, MA. Keliesha Ayannah Russell practices in South Hadley, MA and has the professional credentials of CCLS. The NPI Number for Keliesha Ayannah Russell is 1952738130. The current practice location address for Keliesha Ayannah Russell is 30 Old Lyman RD, South Hadley, MA 01075-2630 and can be reached out via phone at 413-533-7140.
Provider Profile Details
- NPI Number
- 1952738130
- Provider Name
- Keliesha Ayannah Russell
- Credential
- CCLS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Old Lyman RD, South Hadley, MA 01075-2630
- Phone Number
- 413-533-7140
- Primary Taxonomy
- Developmental Therapist · 222Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 2, 2013
- Last Update Date
- October 2, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Old Lyman RD
South Hadley, MA 01075-2630 - City
- South Hadley
- State
- Massachusetts
- Zip
- 01075-2630
- Phone Number
- 413-533-7140
Provider Business Mailing Address Details
- Address
- 30 Old Lyman RD
South Hadley, MA 01075-2630 - City
- South Hadley
- State
- MA
- Zip
- 01075-2630
- Phone Number
- 413-533-7140
License Information
- Taxonomy
- Developmental Therapist · 222Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Developmental Therapists near South Hadley, MA
View all Developmental Therapists in South Hadley →- Allison T ByrneDevelopmental Therapist · NPI 1114696291
- Angelina F FragosoDevelopmental Therapist · NPI 1770764102
- Cassandra C AllardDevelopmental Therapist · NPI 1831680594
- Elizabeth ReardonDevelopmental Therapist · NPI 1922567429
- Heather S MessierDevelopmental Therapist · NPI 1356633408
- Jamie P Fisher-HertzDevelopmental Therapist · NPI 1851859409
Frequently Asked Questions
What is the NPI number of Keliesha A Russell, CCLS?
The NPI number of Keliesha A Russell, CCLS is 1952738130. It was assigned on October 2, 2013 and is currently active in the NPPES registry.
What is the specialty of Keliesha A Russell, CCLS?
Keliesha A Russell, CCLS is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).
Where does Keliesha A Russell, CCLS practice?
The practice location is 30 Old Lyman RD, South Hadley, MA 01075-2630. The office can be reached at 413-533-7140 (phone).
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 1952738130 directly on the NPPES registry website.