# ALYSSA JOY RUSSELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326631482
- **Gender:** F
- **Credential:** M.S., CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SL014916 | PA | — |
| 235Z00000X | Speech-Language Pathologist | SP.13995 | OH | Yes |

## Other

- **Enumeration date:** 02/18/2021
- **Last updated:** 02/18/2021