Russell, Terence P

Russell, Terence P is an individual health care provider with primary practice located at 550 Water St Ste A , Santa Cruz CA 95060-4126. He recently has only one registered license in Speech, Language and Hearing Service Providers / Assistive Technology Supplier, which is considered as his primary health care specialty. Russell, Terence P can be contacted via phone (831) 462-8260.

Contact Information

Primary practice address
550 Water St Ste A Santa Cruz CA 95060-4126
Phone: (831) 462-8260
Fax: (831) 462-8262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X AU610 California

Profile Details

NPI number 1588702773
LBN Legal business name Russell, Terence P
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jan 25th, 2018 - about 6 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 1588702773 NPPES
California Other HA1037 HEARING AID DISPENSER
California Other AU610 HEARING AID DISPENSER

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