Individual provider · Type 1 NPI

Shane Renee Russell, MS CCC-SLP

Speech-Language Pathologist · Lake City, FL

NPI number 1548361850 Active

Practice location

247 SW Long Leaf Dr
Lake City, FL 32024-4241

Call (386) 752-3274 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSA7504 (FL)

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 1548361850

Shane Renee Russell, MS CCC-SLP's National Provider Identifier is 1548361850, issued on Sep 26, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lake City, FL. The record was last updated on Jul 9, 2007.