MR. TERENCE P RUSSELL MA NPI 1588702773

NPI Information

NPI: 1588702773
Provider Name: MR. TERENCE P RUSSELL, MA
Classification: Audiologist - 231HA2500X
Entity Type: Individual

Specialization: Assistive Technology Supplier

Address:
1595 SOQUEL DR
150
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 462-8260
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MR. Terence P Russell, MA is an assistive technology supplier audiologist in Santa Cruz, CA. MR. Terence P Russell, MA NPI is 1588702773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1595 SOQUEL DR
150
SANTA CRUZ, CA
ZIP 95065-719
Phone: (831) 462-8260
Fax: (831) 462-8262

The enumeration date for this NPI number is 2/1/2007 and was last updated on 1/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	231HA2500X	Audiologist	Assistive Technology Supplier	AU610	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AU610	OTHER	CALIFORNIA	CALIFORNIA AUDIOLOGY LICE
2	HA1037	OTHER	CALIFORNIA	HEARING AID DISPENSER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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