Individual
EMILY ROSE JELLINEK-RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-7508
(614) 355-0569
(614) 355-7101
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08791
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131561
—
OH
Enumeration date
05/14/2025
Last updated
06/27/2025
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