Individual
DR. DEBORAH ANNE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6065 LAKE FORREST DR STE 250, ATLANTA, GA 30328-3868
(770) 568-0453
Mailing address
2131 BAYFORD CT SW, MARIETTA, GA 30064-4198
(770) 568-0453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002379
GA
Other
Enumeration date
11/07/2006
Last updated
11/08/2023
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