Individual provider · Type 1 NPI
Jessica Dean Russo, PSY.D.
Clinical Psychologist · Phila, PA
Practice location
230 S. Broad St., Ste 600
Phila, PA 19102-4121
Fax (215) 545-2749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PS015317 (PA) |
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 1659401990
Jessica Dean Russo, PSY.D.'s National Provider Identifier is 1659401990, issued on Mar 6, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Phila, PA. The record was last updated on Feb 24, 2010.