Individual provider · Type 1 NPI

Deirdre Lee Russo, MFT

Marriage & Family Therapist · East Setauket, NY

NPI number 1457722464 Active

Practice location

100 S Jersey Ave, Suite 42
East Setauket, NY 11733-2034

Call (631) 689-1728 Map

Mailing address

8 Winmar Ln
Sayville, NY 11782-1371

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XP97555 (NY)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

16 other providers at this address

About NPI 1457722464

Deirdre Lee Russo, MFT's National Provider Identifier is 1457722464, issued on Oct 16, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in East Setauket, NY. The record was last updated on Oct 16, 2015.