Individual
KAREN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
500 CREEK VIEW RD, SUITE 109, NEWARK, DE 19711-8549
(302) 738-3140
(302) 454-8026
Mailing address
500 CREEK VIEW RD, SUITE 109, NEWARK, DE 19711-8549
(302) 738-3140
(302) 454-8026
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
B10000259
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000025129
—
DE
Enumeration date
07/31/2006
Last updated
04/01/2015
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