Individual
DR. PATRICK JOSEPH RUSSOLILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
154 COLLEGE ST, MIDDLETOWN, CT 06457-3201
(860) 344-9694
(860) 346-2947
Mailing address
238 TIMBER RIDGE RD, MIDDLETOWN, CT 06457-1538
(860) 344-9694
(860) 346-2947
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0001383
CT
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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