Individual
DR. ROBERT GERARD DELLO RUSSO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D., LADC I
Contact information
Practice address
109 WARREN AVE, BOSTON, MA 02116-6103
(617) 484-4146
Mailing address
109 WARREN AVE, BOSTON, MA 02116-6103
(617) 484-4146
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
2943
MA
Other
Enumeration date
10/31/2005
Last updated
09/11/2025
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