Individual
STEPHANIE M RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 DAVIS RD SUITE 235, VALLEY FORGE, PA 19482
(610) 783-5000
(610) 783-0525
Mailing address
PO BOX 35, VALLEY FORGE, PA 19481-0035
(610) 783-5000
(610) 783-0525
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-015097
PA
Other
Enumeration date
01/26/2006
Last updated
02/25/2008
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