Individual provider · Type 1 NPI

Georgeann L. Iacono Russell, PhD

Clinical Psychologist · River Forest, IL

NPI number 1164552154 Active

Practice location

7411 West Lake Street, Building A, Suite L120
River Forest, IL 60305-1876

Fax (708) 763-2120

Mailing address

1825 De Forest Ln
Hanover Park, IL 60133-5905

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071-004593 (IL)

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 1164552154

Georgeann L. Iacono Russell, PhD's National Provider Identifier is 1164552154, issued on Mar 7, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in River Forest, IL. The record was last updated on Mar 11, 2011.