Russell, Rebecca

Russell, Rebecca is an sole proprietor health care provider with primary practice located at 70 Scott Dr , Batesville AR 72501-9796. 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. Russell, Rebecca can be contacted via phone (870) 251-2341.

Contact Information

Primary practice address
70 Scott Dr Batesville AR 72501-9796
Fax: (870) 251-3316
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#1435 Arkansas

Profile Details

NPI number 1326204132
LBN Legal business name Russell, Rebecca
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2008
Last updated Jul 31st, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326204132 NPPES
Arkansas MEDICAID 136394721

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