Individual provider · Type 1 NPI

Ivette Josefina Russo, PSY.D.

Clinical Psychologist · Base Americana, IT

NPI number 1245639418 Active

Practice location

31st Medical Group, Via Pedemonte, Bldg 121
Base Americana, IT 33081

Mailing address

31st Medical Group, Opc 103 Box 49
Apo, AE 09604-0049

Other practice locations

  • 7321 Balmer St # 545, Hill Afb, UT 84056-5012 · (801) 777-7909

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY8970 (FL)

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…

6 other providers at this address

About NPI 1245639418

Ivette Josefina Russo, PSY.D.'s National Provider Identifier is 1245639418, issued on Aug 13, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Base Americana, IT. The record was last updated on Nov 2, 2026.