Individual provider · Type 1 NPI
Stephen John Russo, PhD
Clinical Psychologist · Mineola, NY
Practice location
302 Willis Avenue
Mineola, NY 11501
Mailing address
20 Whistlerhill Lane
Huntington, NY 11743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 0113131 (NY) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1093826778
Stephen John Russo, PhD's National Provider Identifier is 1093826778, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Mineola, NY. The record was last updated on Jul 8, 2007.