ANDREA M RUSSELL MS, CCC-SLP
NPI 1619115557
Speech-Language Pathologist in O Fallon, IL

Active since January 30, 2009
634 N MAIN ST, SUITE 3, O FALLON, IL 62269(618) 632-4222 Get Directions Write a Review

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Andrea M Russell Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA M RUSSELL MS, CCC-SLP (NPI 1619115557) is an individual speech-language pathologist provider in O Fallon, Illinois, licensed in Illinois (146.009661) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1619115557
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANDREA M RUSSELLCredential: MS, CCC-SLP
Location Address634 N MAIN ST, SUITE 3O Fallon, IL 62269-3733
Mailing Address634 N Main St, Suite 3O Fallon, IL 62269-3733 · (618) 632-4222
Sole ProprietorYes
Enumeration DateJanuary 30, 2009
NPI 1619115557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in IL · 146.009661
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
634 N MAIN ST, O Fallon, IL 62269

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
634 N MAIN ST
O FALLON, IL 62269
Speech-Language Pathologist
634 N MAIN ST, SUITE 3
O FALLON, IL 62269
Occupational Therapist
634 N MAIN ST, SUITE 5
O FALLON, IL 62269
Occupational Therapist (Pediatrics)
634 N MAIN ST, STE 1
O FALLON, IL 62269
Behavior Analyst
634 N MAIN ST
O FALLON, IL 62269
Behavior Analyst
634 N MAIN ST
O FALLON, IL 62269
Behavior Technician
634 N MAIN ST
O FALLON, IL 62269
Speech-Language Pathologist
634 N MAIN ST
O FALLON, IL 62269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Russell's NPI number?

The NPI number for Andrea Russell is 1619115557. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Where is Andrea Russell located?

Andrea Russell practices at 634 N Main St Suite 3, O Fallon, IL 62269. The listed phone number is (618) 632-4222.

What is Andrea Russell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Andrea Russell was last updated on January 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.