Individual
DR. NEIL P RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3554 HULMEVILLE ROAD, SUITE 107, BENSALEM, PA 19020-4366
(215) 245-8380
(215) 245-8638
Mailing address
3554 HULMEVILLE ROAD, SUITE 107, BENSALEM, PA 19020-4366
(215) 245-8380
(215) 245-8638
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003837L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005541317
AETNA
PA
01
—
0023780000
IBC
PA
Enumeration date
09/14/2006
Last updated
07/08/2007
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