Individual provider · Type 1 NPI
Kelly L. Russo, PhD
Clinical Psychologist · Orangeburg, SC
Practice location
1767 Village Park Dr
Orangeburg, SC 29118-2475
Fax (803) 536-1719
Mailing address
715 Darlington St
Columbia, SC 29201-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PY-8336 (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…
3 other providers at this address
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About NPI 1265664734
Kelly L. Russo, PhD's National Provider Identifier is 1265664734, issued on Aug 18, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Orangeburg, SC. The record was last updated on May 1, 2014.