Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760528566 Individual Practitioner Female Practitioner

Jennifer Pert Russo , MA CCCSLP

Speech-Language Pathologist • Arundel, ME

Professional Overview & Biography Verified Profile Summary

Jennifer Russo, MA CCCSLP is a registered healthcare professional specializing in Speech-Language Pathologist in Arundel, ME. Practice services are available at 39 LIMERICK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

39 Limerick Rd

Arundel, ME 040468158

Telephone 2073910331
Fax 2079856703
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Arundel, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Arundel, ME (1187 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ME SP765

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
252300099 (ME)
Commercial Insurance / Payer ID Anthem Bcbs
100667 (ME)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Alison Lambert

Developmental Therapist

NPI 1053516112
Jessica Cormier

Occupational Therapist

NPI 1053516120
Kimberly Marion

Occupational Therapist

NPI 1104022144
Trisha Boucher

Developmental Therapist

NPI 1184820136
Kristin Winston , OTRL

Occupational Therapist

NPI 1275737942

Occupational Therapist Registered & Licensed

Suzanne Elcik , OTR, L

Occupational Therapist - Pediatrics

NPI 1447339841

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 08, 2023

Registered at 39 LIMERICK RD, ARUNDEL, ME 040468158 (Tel: 2073910331)

📍
Updated Business Mailing Address September 08, 2023

Registered at 25 WOODRIDGE DR, STEEP FALLS, ME 040856860 (Tel: 2072511347)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 43 BAXTER BLVD, PORTLAND, ME 041011823 (Tel: 2078741056)

📍
Updated Business Mailing Address July 08, 2007

Registered at 43 BAXTER BLVD, PORTLAND, ME 041011823 (Tel: 2078741056)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JENNIFER RUSSO, MA CCCSLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SP765 in ME)

🟢
Initial NPI Registration & Enumeration January 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1760528566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: September 08, 2023
Sole Proprietor: No

Mailing Address

25 Woodridge Dr

Steep Falls, ME 040856860

Phone: 2072511347

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.