Russo, Stephen A.

Russo, Stephen A. is an individual health care provider with primary practice located at 3300 Township Line Rd , Drexel Hill PA 19026-1925. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Russo, Stephen A. can be contacted via phone (484) 818-2225.

Contact Information

Primary practice address
3300 Township Line Rd Drexel Hill PA 19026-1925
Phone: (484) 818-2225
Fax: (866) 818-4032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X PS015087 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS015087 Pennsylvania

Profile Details

NPI number 1902041825
LBN Legal business name Russo, Stephen A.
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2008
Last updated Feb 8th, 2020 - about 4 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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