Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023394392 Individual Practitioner Female Practitioner

Mary Anne Russell , MS, CCC-SLP

Speech-Language Pathologist • Buffalo, NY

Professional Overview & Biography Verified Profile Summary

Mary Russell, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Buffalo, NY. Practice services are available at 1500 COLVIN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Colvin Blvd

Buffalo, NY 142231118

Telephone 7168748400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Buffalo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
450 Specialists

Practicing in Buffalo, NY (25106 Statewide)

Telehealth Adoption Rate
0.7% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 58-011474

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.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Jeanne Ennis , MS CCC-SLP

Speech-Language Pathologist

NPI 1003192378

MSCCCSLP

Danielle Tedesco , MA

Speech-Language Pathologist

NPI 1083992168

Master of Arts

Katharine Andrzejak , MS CCC-SLP

Speech-Language Pathologist

NPI 1114203486

MSCCCSLP

Janelle Wickham , MS, CCC-SLP

Speech-Language Pathologist

NPI 1326100710

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Nancy Heilemann , COTA

Occupational Therapy Assistant

NPI 1366726226

Certified Occupational Therapy Assistant

Laura Ranieri , MS, ATC, PES

Specialist/Technologist - Athletic Trainer

NPI 1396395984

Master of Science, Certified Athletic Trainer, PES

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2011

Registered at 1500 COLVIN BLVD, BUFFALO, NY 142231118 (Tel: 7168748400)

📍
Updated Business Mailing Address November 01, 2011

Registered at 1500 COLVIN BLVD, BUFFALO, NY 142231118 (Tel: 7168748400)

👤
Provider Name / Credentials Updated November 01, 2011

Recorded as MARY RUSSELL, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2011

Speech-Language Pathologist (License #58-011474 in NY)

🟢
Initial NPI Registration & Enumeration October 31, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023394392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2011
Last Update: November 01, 2011
Sole Proprietor: No

Mailing Address

1500 Colvin Blvd

Buffalo, NY 142231118

Phone: 7168748400

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.