Jonathan David Russell, SLPCLINICALFELLOW
Jonathan David Russell, SLPCLINICALFELLOW is a Speech-Language Pathologist in Thousand Oaks, California. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
250 Fairview RdThousand Oaks, CA 91361-2456
Phone: (888) 249-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1689030124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SLPCLINICALFELLOW |
| Sole proprietor | No |
| NPI enumerated | January 14, 2016 |
| Last updated in NPPES | January 14, 2016 |
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