Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandria Russell

Individual provider Speech-Language Pathologist · NPI 1669803664

Alexandria Russell is a Qualified Speech Language Pathologist in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Maryland and Pennsylvania.

Years since qualifying
14
Licensed in
MD, PA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

12 S Letitia St Apt 204
Philadelphia, PA 19106-3033
Phone: (917) 579-6305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL011710 (PA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 07161 (MD)

Record details

NPI number1669803664
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2013
Last updated in NPPESDecember 2, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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