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

Andrea Russell

Individual provider Developmental Therapist · NPI 1205267762

Andrea Russell is a Developmental Therapist in Orlando, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Pennsylvania.

Licensed in
FL, PA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

12901 Broleman Rd
Orlando, FL 32832-6107
Phone: (407) 641-0808
Fax: (407) 812-4358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 921 Glendora Rd S, Kissimmee, FL 34759-3653 — (717) 226-6403

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA16793 (FL)
Developmental Therapist Taxonomy 222Q00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SL007674 (PA)

Record details

NPI number1205267762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 10, 2013
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address921 Glendora Rd S, Kissimmee, FL 34759-3653

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