Andrea M Russell, MS, CCC-SLP
Andrea M Russell, MS, CCC-SLP is a Speech-Language Pathologist in O Fallon, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2009
What do these letters mean?
Practice location Address checks out
634 N Main St Ste 3O Fallon, IL 62269-3733
Phone: (618) 632-4222
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 146.009661 (IL) |
|---|
Record details
| NPI number | 1619115557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , CCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2009 |
| Last updated in NPPES | January 30, 2009 |
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