Provider Demographics
NPI:1326393299
Name:VOUIS, RUSSELL (HAS)
Entity Type:Individual
Prefix:MR
First Name:RUSSELL
Middle Name:
Last Name:VOUIS
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 S LIBERTY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7371
Mailing Address - Country:US
Mailing Address - Phone:614-436-6800
Mailing Address - Fax:614-436-6899
Practice Address - Street 1:72 S LIBERTY ST
Practice Address - Street 2:SUITE B
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7371
Practice Address - Country:US
Practice Address - Phone:614-436-6800
Practice Address - Fax:614-436-6899
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03024237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist