Olivia Russell
Individual provider Active NPI Speech-Language Assistant · Thayer, MO
NPI 1154199693 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1154199693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- Practice address
- 401 E Walnut St
Thayer, MO 65791-1533 - Phone
- (417) 264-4600
- NPI assigned
- Dec 14, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | Yes |
Addresses
Primary practice location
401 E Walnut St
Thayer, MO 65791-1533
Mailing address
401 E Walnut St
Thayer, MO 65791-1533
Other providers in Thayer, MO
- Scott R. Ream
- Rural Alliance for Better Family Health
- Rural Alliance for Better Family Health
- Rural Alliance for Better Family Health
- Rural Alliance for Better Family Health
- Safe Haven Therapy LLC
- Scott Ream Optometry PC
- Spring River Home Health Agency Inc
- Shena Lee Stevenson
- Morgan Stone
All providers in Thayer, MO · Speech-Language Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.