DR. Michael Russo I
NPI #1497893127 in Plainville, Connecticut
Provider Information
- NPI Number
- 1497893127
- Entity Type
- Individual
- Name
- DR. Michael Russo I
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 91 NORTHWEST DR
- City
- Plainville
- State
- Connecticut
- ZIP Code
- 06062-1534
- Phone
- (860) 793-3552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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