Leanna Campo
Individual provider Active NPI Marriage & Family Therapist · Shirley, NY
NPI 1457021396 · NPPES record last updated Jan 11, 2025
Key facts
- NPI
- 1457021396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 28 Hollywood Dr
Shirley, NY 11967-3914 - Phone
- (631) 804-1468
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
28 Hollywood Dr
Shirley, NY 11967-3914
Mailing address
28 Hollywood Dr
Shirley, NY 11967-3914
Other providers in Shirley, NY
- Jessica Nicole Cacace
- Samantha Cairo
- Christine Calabro
- Alexandra Elizabeth Calestini
- McKenzie Callagy
- Ashley Maria Canas
- Gina Caputo
- Lisa J Caravousanos
- Jordan Michelle Caro
- Samantha M Caropelo
All providers in Shirley, NY · Marriage & Family Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.