Russo, Jacqueline
Russo, Jacqueline is an sole proprietor health care provider with primary practice located at 351 Manville Rd Ste 104 , Pleasantville NY 10570-2166. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Russo, Jacqueline can be contacted via phone (413) 384-9240.Contact Information
Primary practice address
351 Manville Rd Ste 104
Pleasantville NY 10570-2166
Phone: (413) 384-9240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 022242-1 | New York |
Profile Details
| NPI number | 1487121497 |
|---|---|
| LBN Legal business name | Russo, Jacqueline |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2018 |
| Last updated | Oct 28th, 2018 - about 7 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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