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Individual

DR. CRISTY L. COX RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(904) 567-4000
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1067
LA
103G00000X
Clinical Neuropsychologist
9153
MA
103G00000X
Clinical Neuropsychologist
Primary
PY8775
FL
103TC0700X
Clinical Psychologist
1067
LA
103TC0700X
Clinical Psychologist
9153
MA

Other

Enumeration date
07/25/2008
Last updated
07/23/2013
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