Individual
PATRICIA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9887 4TH ST N STE 319, ST PETERSBURG, FL 33702-8445
(727) 300-6561
Mailing address
9887 4TH ST N STE 319, ST PETERSBURG, FL 33702-8445
(727) 300-6561
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10277
FL
Other
Enumeration date
12/16/2019
Last updated
10/12/2023
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