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Contact Information

VENEMANY RUSSELL, MS CCC SLP
17706 I 30
SUITE 3
BENTON, AR72015
 Phone: 501-315-4414
 Fax: 501-315-3467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for VENEMANY RUSSELL · (Female)

NPI # 1336100825
Status Active
Credentials MS CCC SLP
Entity Individual
Enumeration date 04/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # P7895
  • AR Other 5Y585 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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