Search › Florida › 235Z00000X
Shane Russell, MS CCC-SLP
NPI 1548361850 · on the registry since 2006 · sole proprietor
Practice
- Address
- 247 Sw Long Leaf Dr
Lake City, FL 32024 - Phone
- (386) 752-3274
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida