Individual
DR. THOMAS P RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7404
(410) 605-7931
Mailing address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7404
(410) 605-7931
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02431
MD
Other
Enumeration date
03/30/2006
Last updated
07/10/2007
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