Russo, David Patrick

Russo, David Patrick is an sole proprietor health care provider with primary practice located at 800 Main St , Holden MA 01520-1838. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Russo, David Patrick can be contacted via phone (508) 829-4242.

Contact Information

Primary practice address
800 Main St Holden MA 01520-1838
Phone: (508) 829-4242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 887 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3364 Massachusetts

Profile Details

NPI number 1871605113
LBN Legal business name Russo, David Patrick
Credentials MA, LMFT, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Nov 5th, 2019 - about 5 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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