MARY RUSSO, PH.D.

Psychologist - Clinical Child & Adolescent

Active Individual
NPI: 1134304967

Practice Address

100 STATE ST
SUITE 202
Erie, PA 16507

Phone: (814) 480-8797

Specialties

Specialty Code Primary License
Psychologist - Clinical Child & Adolescent 103TC2200X Yes PS007343L (PA)

Frequently Asked Questions

NPI 1134304967 is the National Provider Identifier for MARY RUSSO, PH.D., a Psychologist - Clinical Child & Adolescent provider located in Erie, PA. This NPI was enumerated on December 28, 2007.
MARY RUSSO, PH.D. practices at 100 STATE ST, SUITE 202, Erie, PA 16507.

Quick Facts

NPI
1134304967
Type
Individual
Enumerated
Dec 28, 2007
Last Updated
Dec 28, 2007

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