Provider Demographics
NPI:1871635649
Name:SAVINO, LEAH AMY (MS, CCC-SLP)
Entity type:Individual
Prefix:PROF
First Name:LEAH
Middle Name:AMY
Last Name:SAVINO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 RIPLEY DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3051
Mailing Address - Country:US
Mailing Address - Phone:631-239-5750
Mailing Address - Fax:
Practice Address - Street 1:52 RIPLEY DR
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3051
Practice Address - Country:US
Practice Address - Phone:631-239-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011799-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist