Russ, Deandra

Russ, Deandra is an sole proprietor health care provider with primary practice located at 121 Casey St Ste A , Campbellsville KY 42718-6858. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Russ, Deandra can be contacted via phone (270) 465-7768.

Contact Information

Primary practice address
121 Casey St Ste A Campbellsville KY 42718-6858
Fax: (270) 465-0068
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12087 Kentucky

Profile Details

NPI number 1831437060
LBN Legal business name Russ, Deandra
Credentials MS, CCC/SP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2013
Last updated Jan 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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