Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215349253 Individual Practitioner Female Practitioner

Jaclyn Russo , MS

Speech-Language Pathologist • Avon, OH

Professional Overview & Biography Verified Profile Summary

Jaclyn Russo, MS is a registered healthcare professional specializing in Speech-Language Pathologist in Avon, OH. Practice services are available at 35575 DETROIT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35575 Detroit Rd

Avon, OH 440111639

Telephone 4409379660

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Avon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
28 Specialists

Practicing in Avon, OH (7718 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OH 2014260

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.

Secondary Practice Locations

2133 Walter Rd

Westlake, OH 441454320

Phone: 2163089040

Practice Associates & Co-Workers

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

1 Associated Practitioners
Emily Wilson , CCC-SLP

Speech-Language Pathologist

NPI 1508589938

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2017

Registered at 35575 DETROIT RD, AVON, OH 440111639 (Tel: 4409379660)

📍
Updated Business Mailing Address August 09, 2017

Registered at 35575 DETROIT RD, AVON, OH 440111639 (Tel: (440) 937-9660)

👤
Provider Name / Credentials Updated August 09, 2017

Recorded as JACLYN RUSSO, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Speech-Language Pathologist (License #2014260 in OH)

NPI Profile Active May 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2014

Registered at 2133 WALTER RD, WESTLAKE, OH 441454320 (Tel: 2163089040)

📍
Updated Business Mailing Address May 26, 2014

Registered at 2133 WALTER RD, WESTLAKE, OH 441454320 (Tel: 2163089040)

👤
Provider Name / Credentials Updated May 26, 2014

Recorded as JACLYN SIMON, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2014

Speech-Language Pathologist (License #2014260 in OH)

🟢
Initial NPI Registration & Enumeration May 26, 2014

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: 1215349253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2014
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

35575 Detroit Rd

Avon, OH 440111639

Phone: 4409379660

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.