Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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MS. Kathryn Teresa D'Agostino Russo, CCC-SLP, TSSLD

Individual provider Speech-Language Pathologist · NPI 1649657925

MS. Kathryn Teresa D'Agostino Russo, CCC-SLP, TSSLD is a Speech-Language Pathologist in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

19502 69th Ave
Fresh Meadows, NY 11365-4031
Phone: (516) 982-4023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 024439-1 (NY)

Record details

NPI number1649657925
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP , TSSLD
Sole proprietorYes
NPI enumeratedMay 6, 2015
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026

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