Organization
BALANCED MINDS PSYCHOLOGY & WELLNESS, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA RUSSO PSY.D. (OWNER/PSYCHOLOGIST)
(727) 300-6561
Entity
Organization
Contact information
Practice address
9887 4TH ST N STE 319, ST PETERSBURG, FL 33702-8445
(727) 300-6561
Mailing address
9887 4TH ST N STE 319, ST PETERSBURG, FL 33702-8445
(727) 300-6561
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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