Wendy S Russo, M.A. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

OH1201330 Issued in OH

Practice address

225 Idaho Rd
Youngstown, OH 44515-3703

Phone

(330) 797-3900

NPI assigned

Feb 3, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1861815474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 FOX DEN TRL",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068310",
            "telephone_number": "330-797-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 IDAHO RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445153703",
            "telephone_number": "330-797-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "WENDY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "OH1201330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia M Russell
• Siobhan M Russell
• Anthony Russo, M.D.
• Ashlee Nicole Russo, M.D.
• Christopher J Russo
• Shelly Rust-Taylor, L.S.W.
• Tara Rust
• Susan Rusu, LPN
• Junell Rutledge
• Heather R. Ryan, P.C.C.

• Speech-Language Pathologist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.