Addeo, Russell R

Addeo, Russell R is an individual health care provider with primary practice located at 3901 University Blvd S , Jacksonville FL 32216-4312. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Addeo, Russell R can be contacted via phone (904) 858-7216.

Contact Information

Primary practice address
3901 University Blvd S Jacksonville FL 32216-4312
Phone: (904) 858-7216
Fax: (904) 858-7255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5570 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY5570 Florida

Profile Details

NPI number 1689698144
LBN Legal business name Addeo, Russell R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 3rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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