Jo Russell-Brown in Saint Louis - Developmental Therapist

Jo Russell-Brown - NPI 1093929259

Jo Russell-Brown is a Developmental Therapist in Saint Louis, Missouri. Jo Russell-Brown practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Jo Russell-Brown is 1093929259. The last update date is 2007-07-08.

Jo Russell-Brown's current location address is 5030 Mcree Ave, Saint Louis, Missouri. You can contact this provider via phone number 3147761300 and fax number 3147767808. The mailing address for Jo Russell-Brown is 5030 Mcree Ave, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jo Russell-Brown
Address 5030 Mcree Ave, Saint Louis, Missouri
Phone Number 3147761300
Fax Number 3147767808
Sole Proprietor N
Credentials M.ED.

NPI Number Detail

NPI Number 1093929259
Provider Enumeration Date 2007-05-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5030 Mcree Ave
City Saint Louis
State Missouri (MO)
Post Code 631102046
Phone Number 3147761300
Fax Number 3147767808

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Licence No JR50930198P
Definition:
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education

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FAQs about Jo Russell-Brown

What is the Jo Russell-Brown's 1093929259?

The Jo Russell-Brown's NPI (National Provider Identifier) Number is 1093929259. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jo Russell-Brown is located?

The Jo Russell-Brown is situated at the following address: 5030 Mcree Ave, Saint Louis, MO, 631102046.

What is the Jo Russell-Brown's area of specialization and corresponding taxonomy classification?

The Jo Russell-Brown's specialty field is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their specialties.

On what date did Jo Russell-Brown receive its 1093929259 assignment from the Centers for Medicare & Medicaid Services?

The Jo Russell-Brown was assigned its 1093929259 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jo Russell-Brown most recently updated?

The details pertaining to the Jo Russell-Brown, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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