Individual
MR. RUSSELL GIRESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA PSY
Contact information
Practice address
9442 BARNSTEAD LN, PORT RICHEY, FL 34668-4303
(727) 226-5220
Mailing address
9442 BARNSTEAD LN, PORT RICHEY, FL 34668-4303
(727) 226-5220
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
08/12/2024
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