Joan Carol Russo, PH.D.
NPI #1225037575 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1225037575
- Entity Type
- Individual
- Name
- Joan Carol Russo, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Jul 19, 2005
- Last Updated
- Jul 7, 2014
Practice Location
- Address
- W340N6509 BREEZY POINT RD
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-5132
- Phone
- (262) 490-9114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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