DR. Stephen John Russo, PHD

NPI #1093826778 in Mineola, New York

Provider Information

NPI Number
1093826778
Entity Type
Individual
Name
DR. Stephen John Russo, PHD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Aug 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
302 WILLIS AVENUE
ZIP Code
11501
Phone
(516) 448-3015

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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