# KATHY J. RUSSETH, M.D., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kathy J. Russeth, M.D., S.C., Centered Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700564382
- **Authorized official:** DR. KATHY J RUSSETH MD (PRESIDENT)
- **Authorized official phone:** (608) 305-4150

## Contact information

- **Practice address:** 345 W WASHINGTON AVE STE 307, MADISON, WI 53703-6019
- **Practice address phone:** (414) 395-5435
- **Mailing address:** 345 W WASHINGTON AVE STE 307, MADISON, WI 53703-6019
- **Mailing address phone:** (608) 305-4150
- **Mailing address fax:** (608) 305-8736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2023
- **Last updated:** 10/04/2024
