KWYNSEE RENEA RUSSELL MS, CCC-SLP
NPI 1962195032
Speech-Language Pathologist in Freeport, IL

Active since June 02, 2023
1045 W STEPHENSON ST, FREEPORT, IL 61032(815) 990-9867 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2023, Jun 12, 2023, Jun 2, 2023 (3 updates tracked since 2023).

About Kwynsee Renea Russell Ms, Ccc-slp NPPES

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

KWYNSEE RENEA RUSSELL MS, CCC-SLP (NPI 1962195032) is an individual speech-language pathologist provider in Freeport, Illinois, licensed in Illinois (146015314) and active in the NPI registry since June 2023. She maintains a secondary practice location in Freeport.

NPPES Registry Identity

NPI1962195032
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKWYNSEE RENEA RUSSELLCredential: MS, CCC-SLP
Location Address1045 W STEPHENSON STFreeport, IL 61032-4864
Mailing Address1045 W Stephenson StFreeport, IL 61032-4864 · (815) 990-9867
Sole ProprietorNo
Enumeration DateJune 2, 2023
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1962195032 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 · 146015314
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.

1045 W STEPHENSON ST, Freeport, IL 61032

Secondary Practice Location 1

Location 13515 S Baileyville RdFreeport, IL 61032 · Phone (815) 990-9867

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.

Emergency Medicine
1045 W STEPHENSON ST
FREEPORT, IL 61032
Emergency Medicine
1045 W STEPHENSON ST
FREEPORT, IL 61032
Emergency Medicine
1045 W STEPHENSON ST
FREEPORT, IL 61032
Physician Assistant
1045 W STEPHENSON ST
FREEPORT, IL 61032
Emergency Medicine (Emergency Medical Services)
1045 W STEPHENSON ST
FREEPORT, IL 61032
Emergency Medicine
1045 W STEPHENSON ST
FREEPORT, IL 61032
Legal Medicine
1045 W STEPHENSON ST
FREEPORT, IL 61032
Speech-Language Pathologist
1045 W STEPHENSON ST
FREEPORT, IL 61032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962195032, enumerated as an "individual" on June 02, 2023.

The provider is located at 1045 W STEPHENSON ST FREEPORT, IL 61032 and the phone number is (815) 990-9867.

Speech-Language Pathologist with taxonomy code 235Z00000X.