Individual provider · Type 1 NPI

Jacqueline Russo, PSYD

Psychologist · Pleasantville, NY

NPI number 1487121497 Active

Practice location

351 Manville Rd Ste 104
Pleasantville, NY 10570-2166

Call (413) 384-9240 Map

Mailing address

3083 23rd St Apt 2A
Astoria, NY 11102-3325

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X022242-1 (NY)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1487121497

Jacqueline Russo, PSYD's National Provider Identifier is 1487121497, issued on Oct 28, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Pleasantville, NY. The record was last updated on Oct 28, 2018.