Individual provider · Type 1 NPI

Alexa Russo

Speech-Language Pathologist · Eden Prairie, MN

NPI number 1053222406 Active

Practice location

6409 City West Pkwy Ste 206
Eden Prairie, MN 55344-7846

Mailing address

8746 Prescott Dr
Eden Prairie, MN 55347-2249

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1053222406

Alexa Russo's National Provider Identifier is 1053222406, issued on Sep 15, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Eden Prairie, MN. The record was last updated on Sep 15, 2026.