Individual
DR. NATALIE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
403 HUNTINGTON HL, SYRACUSE UNIVERSITY DEPT. OF PSYCHOLOGY, SYRACUSE, NY 13244-0001
(315) 443-2024
Mailing address
403 HUNTINGTON HL, SYRACUSE UNIVERSITY DEPT. OF PSYCHOLOGY, SYRACUSE, NY 13244-0001
(315) 443-2024
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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