Russo, Karen
Russo, Karen is an sole proprietor health care provider with primary practice located at 500 Creek View Rd Suite 109, Newark DE 19711-8549. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Russo, Karen can be contacted via phone (302) 738-3140.Contact Information
Primary practice address
500 Creek View Rd Suite 109
Newark DE 19711-8549
Phone: (302) 738-3140
Fax: (302) 454-8026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | B10000259 | Delaware |
Profile Details
| NPI number | 1073529905 |
|---|---|
| LBN Legal business name | Russo, Karen |
| Credentials | PH D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 1st, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073529905 | NPPES |
| Delaware | MEDICAID | 1000025129 |
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