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

MS. Shane Renee Russell, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1548361850

MS. Shane Renee Russell, MSCCC-SLP is a Speech-Language Pathologist in Lake City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

247 SW Long Leaf Dr
Lake City, FL 32024-4241
Phone: (386) 752-3274
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 SA7504 (FL)

Record details

NPI number1548361850
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJuly 9, 2007

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