Russo, Antonietta Anna
Russo, Antonietta Anna is an sole proprietor health care provider with primary practice located at 5801 Fashion Blvd Ste 190, Murray UT 84107-6159. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Russo, Antonietta Anna can be contacted via phone (801) 314-4736.Contact Information
Primary practice address
5801 Fashion Blvd Ste 190
Murray UT 84107-6159
Phone: (801) 314-4736
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 370566-2501 | Utah |
Profile Details
| NPI number | 1831211895 |
|---|---|
| LBN Legal business name | Russo, Antonietta Anna |
| Credentials | P.H.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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