Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Leah Gillgannon Russo, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1164560025

MS. Leah Gillgannon Russo, MA, CCC-SLP is a Speech-Language Pathologist in Bethpage, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

14 William St
Bethpage, NY 11714-4407
Phone: (516) 455-7686
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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 012538-1 (NY)

Record details

NPI number1164560025
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJuly 8, 2007

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