Organization
KAREN RUSSO PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN RUSSO PHD (OWNER, PSYCHOLOGIST)
(302) 738-3140
Entity
Organization
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
B1-0000259
DE
Other
Enumeration date
06/11/2012
Last updated
04/01/2015
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