Organization
NATALIE RUSSO PHD & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MARIE RUSSO PHD (OWNER)
(412) 537-5893
Entity
Organization
Contact information
Practice address
316 STATION ST, BRIDGEVILLE, PA 15017-1833
(412) 537-5893
(724) 942-2390
Mailing address
316 STATION ST, BRIDGEVILLE, PA 15017-1833
(412) 537-5893
(724) 942-2390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001774297
BCBS
—
Enumeration date
05/09/2008
Last updated
05/09/2008
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