Jaclyn Russo, M.S.

Speech-Language Pathologist · Avon, OH

Individual Active NPI

NPI number 1215349253

Practice location

35575 Detroit Rd
Avon, OH 44011-1639
Phone
(440) 937-9660

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NPI record

NPI
1215349253
Entity type
Individual (Type 1)
Enumeration date
May 26, 2014
Last updated
July 21, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2014260 OH

Other practice locations (1)

  • 2133 Walter Rd, Westlake, OH 44145-4320 · (216) 308-9040

About Jaclyn Russo

Jaclyn Russo, M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 35575 Detroit Rd, Avon, OH 44011-1639. The NPI number 1215349253 was assigned on May 26, 2014 and the record was last updated on July 21, 2022.

Jaclyn Russo lists a license in the registry: #2014260 (OH) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jaclyn Russo, M.S.?

The NPI number is 1215349253.

What is the phone number of Jaclyn Russo?

The phone number listed for the practice location is (440) 937-9660.

Where is Jaclyn Russo located?

35575 Detroit Rd, Avon, OH 44011-1639.

What is the taxonomy code for Jaclyn Russo?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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