Individual
ANDREA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12901 BROLEMAN RD, ORLANDO, FL 32832-6107
(407) 641-0808
(407) 812-4358
Mailing address
921 GLENDORA RD S, KISSIMMEE, FL 34759-3653
(717) 226-6403
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA16793
FL
235Z00000X
Speech-Language Pathologist
SL007674
PA
Other
Enumeration date
12/10/2013
Last updated
04/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us